Clinical Reasoning and Basic Science Knowledge: Assessing the Relationship in Medical Students
Introduction: Various studies have investigated the impact of basic sciences knowledge on clinical diagnosis for skilled and novice physicians but, it is still a matter of controversy why and how clinical diagnosis and clinical reasoning are related to basic sciences knowledge. This study aimed to e...
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Format: | Article |
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Isfahan University of Medical Sciences, Medical Education Development Center
2023-03-01
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Series: | مجله ایرانی آموزش در علوم پزشکی |
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Online Access: | http://ijme.mui.ac.ir/article-1-5636-en.pdf |
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author | Mohammad Rasoul Golabchi Firouzeh Moeinzadeh Kiyan Heshmat-Ghahdarijani Arash Najimi Athar Omid |
author_facet | Mohammad Rasoul Golabchi Firouzeh Moeinzadeh Kiyan Heshmat-Ghahdarijani Arash Najimi Athar Omid |
author_sort | Mohammad Rasoul Golabchi |
collection | DOAJ |
description | Introduction: Various studies have investigated the impact of basic sciences knowledge on clinical diagnosis for skilled and novice physicians but, it is still a matter of controversy why and how clinical diagnosis and clinical reasoning are related to basic sciences knowledge. This study aimed to explore the correlation between basic sciences knowledge with clinical reasoning skills by evaluating the correlation between the scores of the basic sciences course with the score of the clinical reasoning exam.
Methods: Clinical reasoning exam was used to evaluate the clinical reasoning skills of all medical interns of two internal medicine rotations. Scores were evaluated for correlation with the basic sciences course scores and basic sciences national comprehensive exam results. statistical analysis was performed using an independent t-test, stepwise regression, and Pearson correlation coefficient.
Results: All of the basic sciences course scores and basic sciences national comprehensive exam results correlated positively significant with total score of clinical reasoning exam (p-value=0/0001). and the score of clinical reasoning exam were most closely correlated with the average score of basic sciences course rather than to each course individually(p-value=0/0001). No significant gender differences were observed in the data analysis.
Conclusion: The results of this study suggest that, learning basic sciences knowledge has positive correlations with clinical reasoning skills. However, this correlation is small to moderate based on the course. Our findings support the view that learning basic science knowledge is effective in the formation of clinical reasoning skills. |
first_indexed | 2024-03-11T12:54:37Z |
format | Article |
id | doaj.art-8c78012a70c14c61a7d6427a679337da |
institution | Directory Open Access Journal |
issn | 1608-9359 1735-8892 |
language | fas |
last_indexed | 2024-03-11T12:54:37Z |
publishDate | 2023-03-01 |
publisher | Isfahan University of Medical Sciences, Medical Education Development Center |
record_format | Article |
series | مجله ایرانی آموزش در علوم پزشکی |
spelling | doaj.art-8c78012a70c14c61a7d6427a679337da2023-11-03T17:15:05ZfasIsfahan University of Medical Sciences, Medical Education Development Centerمجله ایرانی آموزش در علوم پزشکی1608-93591735-88922023-03-0123118125Clinical Reasoning and Basic Science Knowledge: Assessing the Relationship in Medical StudentsMohammad Rasoul Golabchi0Firouzeh Moeinzadeh1Kiyan Heshmat-Ghahdarijani2Arash Najimi3Athar Omid4 Medical School, USERN Office, Isfahan University of Medical Sciences, Isfahan, Iran Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran Department of Medical Education, Medical Education Research Center, Education Development Center, Isfahan University of Medical Sciences, Isfahan, Iran. Medical Education Research Center, Department of Medical Education, Isfahan University of Medical Sciences, Isfahan, Iran. Introduction: Various studies have investigated the impact of basic sciences knowledge on clinical diagnosis for skilled and novice physicians but, it is still a matter of controversy why and how clinical diagnosis and clinical reasoning are related to basic sciences knowledge. This study aimed to explore the correlation between basic sciences knowledge with clinical reasoning skills by evaluating the correlation between the scores of the basic sciences course with the score of the clinical reasoning exam. Methods: Clinical reasoning exam was used to evaluate the clinical reasoning skills of all medical interns of two internal medicine rotations. Scores were evaluated for correlation with the basic sciences course scores and basic sciences national comprehensive exam results. statistical analysis was performed using an independent t-test, stepwise regression, and Pearson correlation coefficient. Results: All of the basic sciences course scores and basic sciences national comprehensive exam results correlated positively significant with total score of clinical reasoning exam (p-value=0/0001). and the score of clinical reasoning exam were most closely correlated with the average score of basic sciences course rather than to each course individually(p-value=0/0001). No significant gender differences were observed in the data analysis. Conclusion: The results of this study suggest that, learning basic sciences knowledge has positive correlations with clinical reasoning skills. However, this correlation is small to moderate based on the course. Our findings support the view that learning basic science knowledge is effective in the formation of clinical reasoning skills.http://ijme.mui.ac.ir/article-1-5636-en.pdfclinical reasoningclinical reasoning skillsclinical reasoning exammedical studentsmedical educationbasic sciences knowledgeclinical knowledge |
spellingShingle | Mohammad Rasoul Golabchi Firouzeh Moeinzadeh Kiyan Heshmat-Ghahdarijani Arash Najimi Athar Omid Clinical Reasoning and Basic Science Knowledge: Assessing the Relationship in Medical Students مجله ایرانی آموزش در علوم پزشکی clinical reasoning clinical reasoning skills clinical reasoning exam medical students medical education basic sciences knowledge clinical knowledge |
title | Clinical Reasoning and Basic Science Knowledge: Assessing the Relationship in Medical Students |
title_full | Clinical Reasoning and Basic Science Knowledge: Assessing the Relationship in Medical Students |
title_fullStr | Clinical Reasoning and Basic Science Knowledge: Assessing the Relationship in Medical Students |
title_full_unstemmed | Clinical Reasoning and Basic Science Knowledge: Assessing the Relationship in Medical Students |
title_short | Clinical Reasoning and Basic Science Knowledge: Assessing the Relationship in Medical Students |
title_sort | clinical reasoning and basic science knowledge assessing the relationship in medical students |
topic | clinical reasoning clinical reasoning skills clinical reasoning exam medical students medical education basic sciences knowledge clinical knowledge |
url | http://ijme.mui.ac.ir/article-1-5636-en.pdf |
work_keys_str_mv | AT mohammadrasoulgolabchi clinicalreasoningandbasicscienceknowledgeassessingtherelationshipinmedicalstudents AT firouzehmoeinzadeh clinicalreasoningandbasicscienceknowledgeassessingtherelationshipinmedicalstudents AT kiyanheshmatghahdarijani clinicalreasoningandbasicscienceknowledgeassessingtherelationshipinmedicalstudents AT arashnajimi clinicalreasoningandbasicscienceknowledgeassessingtherelationshipinmedicalstudents AT atharomid clinicalreasoningandbasicscienceknowledgeassessingtherelationshipinmedicalstudents |