Development of clinical reasoning in an undergraduate medical program at a Brazilian university
ABSTRACT CONTEXT AND OBJECTIVE The cognitive processes relating to the development of clinical reasoning are only partially understood, which explains the difficulties in teaching this skill in medical courses. This study aimed to understand how clinical reasoning develops among undergraduate medic...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200110&lng=en&tlng=en |
| _version_ | 1818487544370692096 |
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| author | Alexandre Roberti Maria do Rosário Ferraz Roberti Edna Regina Silva Pereira Celmo Celeno Porto Nilce Maria da Silva Campos Costa |
| author_facet | Alexandre Roberti Maria do Rosário Ferraz Roberti Edna Regina Silva Pereira Celmo Celeno Porto Nilce Maria da Silva Campos Costa |
| author_sort | Alexandre Roberti |
| collection | DOAJ |
| description | ABSTRACT CONTEXT AND OBJECTIVE The cognitive processes relating to the development of clinical reasoning are only partially understood, which explains the difficulties in teaching this skill in medical courses. This study aimed to understand how clinical reasoning develops among undergraduate medical students. DESIGN AND SETTING Quantitative and qualitative exploratory descriptive study conducted at the medical school of Universidade Federal de Goiás. METHODS The focus group technique was used among 40 students who participated in five focus groups, with eight students from each year, from the first to fifth year of the medical school program. The material was subjected to content analysis in categories, and was subsequently quantified and subjected to descriptive statistical analysis and chi-square test for inferential statistics. RESULTS The content of the students' statements was divided into two categories: clinical reasoning - in the preclinical phase, clinical reasoning was based on knowledge of basic medical science and in the clinical phase, there was a change to pattern recognition; knowledge of basic medical science - 80.6% of the students recognized its use, but they stated that they only used it in difficult cases. CONCLUSION In the preclinical phase, in a medical school with a traditional curriculum, clinical reasoning depends on the knowledge acquired from basic medical science, while in the clinical phase, it becomes based on pattern recognition. |
| first_indexed | 2024-12-10T16:39:19Z |
| format | Article |
| id | doaj.art-b6d64ee24bae4a298b87b04b2135e1d2 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-10T16:39:19Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-b6d64ee24bae4a298b87b04b2135e1d22022-12-22T01:41:17ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460134211011510.1590/1516-3180.2015.00080108S1516-31802016000200110Development of clinical reasoning in an undergraduate medical program at a Brazilian universityAlexandre RobertiMaria do Rosário Ferraz RobertiEdna Regina Silva PereiraCelmo Celeno PortoNilce Maria da Silva Campos CostaABSTRACT CONTEXT AND OBJECTIVE The cognitive processes relating to the development of clinical reasoning are only partially understood, which explains the difficulties in teaching this skill in medical courses. This study aimed to understand how clinical reasoning develops among undergraduate medical students. DESIGN AND SETTING Quantitative and qualitative exploratory descriptive study conducted at the medical school of Universidade Federal de Goiás. METHODS The focus group technique was used among 40 students who participated in five focus groups, with eight students from each year, from the first to fifth year of the medical school program. The material was subjected to content analysis in categories, and was subsequently quantified and subjected to descriptive statistical analysis and chi-square test for inferential statistics. RESULTS The content of the students' statements was divided into two categories: clinical reasoning - in the preclinical phase, clinical reasoning was based on knowledge of basic medical science and in the clinical phase, there was a change to pattern recognition; knowledge of basic medical science - 80.6% of the students recognized its use, but they stated that they only used it in difficult cases. CONCLUSION In the preclinical phase, in a medical school with a traditional curriculum, clinical reasoning depends on the knowledge acquired from basic medical science, while in the clinical phase, it becomes based on pattern recognition.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200110&lng=en&tlng=enQualitative researchStudents, medicalEducation, medicalCurriculumCognition |
| spellingShingle | Alexandre Roberti Maria do Rosário Ferraz Roberti Edna Regina Silva Pereira Celmo Celeno Porto Nilce Maria da Silva Campos Costa Development of clinical reasoning in an undergraduate medical program at a Brazilian university São Paulo Medical Journal Qualitative research Students, medical Education, medical Curriculum Cognition |
| title | Development of clinical reasoning in an undergraduate medical program at a Brazilian university |
| title_full | Development of clinical reasoning in an undergraduate medical program at a Brazilian university |
| title_fullStr | Development of clinical reasoning in an undergraduate medical program at a Brazilian university |
| title_full_unstemmed | Development of clinical reasoning in an undergraduate medical program at a Brazilian university |
| title_short | Development of clinical reasoning in an undergraduate medical program at a Brazilian university |
| title_sort | development of clinical reasoning in an undergraduate medical program at a brazilian university |
| topic | Qualitative research Students, medical Education, medical Curriculum Cognition |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200110&lng=en&tlng=en |
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