Document Detail


Online discussions develop students' clinical reasoning skills during fieldwork.
MedLine Citation:
PMID:  21091706     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
AIM: Pilot study to examine if the addition of a structured framework improved the quality of clinical reasoning demonstrated within clinically based online discussions by occupational therapy students undertaking fieldwork.
METHODS: Cognitive elements of the clinical reasoning process present within students' discussions were compared before (2005 cohort) and after (2007 cohort) the introduction of a structured framework to guide discussions. Students' self reports (2007 cohort) of clinical reasoning skills were also analysed before and after two consecutive fieldwork placements.
RESULTS: The structured framework increased the proportion of postings containing the advanced 'evaluate' element of clinical reasoning and decreased the proportion of postings containing only the basic 'understand' elements. Self-reported clinical reasoning skills improved following the first fieldwork placement and this improvement was sustained following the second placement.
CONCLUSIONS: The structured framework appears useful in enhancing students' depth of clinical reasoning during fieldwork, although further investigation is required.
Authors:
Justin Newton Scanlan; Nicola Hancock
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian occupational therapy journal     Volume:  57     ISSN:  1440-1630     ISO Abbreviation:  Aust Occup Ther J     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15420200R     Medline TA:  Aust Occup Ther J     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  401-8     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Australian Occupational Therapy Journal © 2010 Australian Association of Occupational Therapists.
Affiliation:
Discipline of Occupational Therapy, Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia. jsca9701@uni.sydney.edu.au
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