Clinical reasoning of medical students in a public university in Brazil
The aim of this research was to understand the reasoning developed by medical students in a public university in Brazil. This research on education included semi-structured interviews and film recordings of interns discussing 10 clinical cases. A sample of 16 interns analyzed cases presented on a no...
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doaj-bd7c837cefa14c3782c0007ac9eda58f2020-11-25T01:42:26ZporAssocição Brasileira de Educação MédicaRevista Brasileira de Educação Médica1981-527136446346910.1590/S0100-55022012000600004S0100-55022012000600004Clinical reasoning of medical students in a public university in BrazilCélia Cristina Fornaziero0Pedro Alejandro Gordan1Mara Lúcia Garanhani2Universidade Estadual de LondrinaUniversidade Estadual de LondrinaUniversidade Estadual de LondrinaThe aim of this research was to understand the reasoning developed by medical students in a public university in Brazil. This research on education included semi-structured interviews and film recordings of interns discussing 10 clinical cases. A sample of 16 interns analyzed cases presented on a notebook computer with a webcam. They were instructed to verbalize all their thoughts on the procedures they would use. The film recordings and transcripts of the interviews were analyzed. Quantitative data was evaluated using Yates' chi-squared test and speech analysis was used to evaluate the transcripts. The theme worked on in the practice of reasoning was: the student's perceptions of their clinical practice. Of the 160 diagnoses, 57% were done with analytical reasoning and 43% with non-analytical reasoning. The hypothetical deductive method was employed by 31% of the interns and the inductive method was employed by 69%. The diagnostic accuracy was 81% correct for easy cases and 85% correct for difficult cases. We observed two empirical categories: the cognitive universe of the student and the patient's context.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022012000600004&lng=en&tlng=enDiagnosisProblem SolvingMethodsQualitative ResearchMedical EducationInternship and Residency |
collection |
DOAJ |
language |
Portuguese |
format |
Article |
sources |
DOAJ |
author |
Célia Cristina Fornaziero Pedro Alejandro Gordan Mara Lúcia Garanhani |
spellingShingle |
Célia Cristina Fornaziero Pedro Alejandro Gordan Mara Lúcia Garanhani Clinical reasoning of medical students in a public university in Brazil Revista Brasileira de Educação Médica Diagnosis Problem Solving Methods Qualitative Research Medical Education Internship and Residency |
author_facet |
Célia Cristina Fornaziero Pedro Alejandro Gordan Mara Lúcia Garanhani |
author_sort |
Célia Cristina Fornaziero |
title |
Clinical reasoning of medical students in a public university in Brazil |
title_short |
Clinical reasoning of medical students in a public university in Brazil |
title_full |
Clinical reasoning of medical students in a public university in Brazil |
title_fullStr |
Clinical reasoning of medical students in a public university in Brazil |
title_full_unstemmed |
Clinical reasoning of medical students in a public university in Brazil |
title_sort |
clinical reasoning of medical students in a public university in brazil |
publisher |
Associção Brasileira de Educação Médica |
series |
Revista Brasileira de Educação Médica |
issn |
1981-5271 |
description |
The aim of this research was to understand the reasoning developed by medical students in a public university in Brazil. This research on education included semi-structured interviews and film recordings of interns discussing 10 clinical cases. A sample of 16 interns analyzed cases presented on a notebook computer with a webcam. They were instructed to verbalize all their thoughts on the procedures they would use. The film recordings and transcripts of the interviews were analyzed. Quantitative data was evaluated using Yates' chi-squared test and speech analysis was used to evaluate the transcripts. The theme worked on in the practice of reasoning was: the student's perceptions of their clinical practice. Of the 160 diagnoses, 57% were done with analytical reasoning and 43% with non-analytical reasoning. The hypothetical deductive method was employed by 31% of the interns and the inductive method was employed by 69%. The diagnostic accuracy was 81% correct for easy cases and 85% correct for difficult cases. We observed two empirical categories: the cognitive universe of the student and the patient's context. |
topic |
Diagnosis Problem Solving Methods Qualitative Research Medical Education Internship and Residency |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022012000600004&lng=en&tlng=en |
work_keys_str_mv |
AT celiacristinafornaziero clinicalreasoningofmedicalstudentsinapublicuniversityinbrazil AT pedroalejandrogordan clinicalreasoningofmedicalstudentsinapublicuniversityinbrazil AT maraluciagaranhani clinicalreasoningofmedicalstudentsinapublicuniversityinbrazil |
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