PMID- 29099321
OWN - NLM
STAT- MEDLINE
DCOM- 20180913
LR  - 20180913
IS  - 0748-321X (Print)
IS  - 0748-321X (Linking)
VI  - 45
IP  - 2
DP  - 2018 Summer
TI  - Clinical Reasoning by Veterinary Students in the First-Opinion Setting: Is It 
      Encouraged? Is It Practiced?
PG  - 156-162
LID - 10.3138/jvme.1016-153r [doi]
AB  - A mixed-methods study was performed to investigate the perceived importance and 
      efficacy of teaching clinical reasoning (CR) skills among students and faculty in 
      a university first-opinion veterinary practice, as this has not previously been 
      described. Qualitative analysis of interview data, discussing objectives and 
      factors considered important for effective learning and the understanding of CR, 
      was performed alongside quantitative analysis of the Preceptor Thinking-Promotion 
      Scale (PTPS) and the Learner Thinking-Behavior Scale (LTBS) (assessing the level 
      of CR encouraged by clinicians and displayed by students) in peri-consultation 
      discussions. Themes that emerged from analysis of the interviews regarding 
      objectives included the desire to develop data acquisition and the need to 
      improve data manipulation and CR. Themes associated with effective learning were 
      a positive student-centered learning environment and feedback. Type II CR was 
      fairly well described, but recognition of the importance of type I CR was poor 
      among clinicians and students and, in some instances, was deemed to be 
      inappropriate. Although many clinicians and students expressed a desire to 
      develop student CR, there was little evidence of this actually occurring in the 
      interactions analyzed, with low PTPS and LTBS scores achieved. There was also 
      poor understanding of whether effective teaching of CR had occurred, demonstrated 
      by a lack of correlation between LTBS and the interaction score for development 
      of student CR. Further training of clinicians and students of the value of type I 
      CR in first-opinion practice is required, as well as clinician education in how 
      best to support the development of CR in students.
FAU - Humm, Karen R
AU  - Humm KR
AD  - The Queen Mother Hospital for Animals, The Royal Veterinary College, Hawkshead 
      Lane, North Mymms, AL9 7TA UK. khumm@rvc.ac.uk.
FAU - May, Stephen A
AU  - May SA
AD  - LIVE Centre, The Royal Veterinary College, Hawkshead Lane, North Mymms, AL9 7TA 
      UK.
LA  - eng
PT  - Journal Article
DEP - 20171103
PL  - Canada
TA  - J Vet Med Educ
JT  - Journal of veterinary medical education
JID - 7610519
SB  - IM
MH  - *Clinical Competence
MH  - *Education, Veterinary
MH  - Humans
MH  - *Problem Solving
MH  - *Students, Medical
OTO - NOTNLM
OT  - analytical reasoning
OT  - learner thinking-behavior scale
OT  - nonanalytical reasoning
OT  - preceptor thinking-promotion scale
EDAT- 2017/11/04 06:00
MHDA- 2018/09/14 06:00
CRDT- 2017/11/04 06:00
PHST- 2017/11/04 06:00 [pubmed]
PHST- 2018/09/14 06:00 [medline]
PHST- 2017/11/04 06:00 [entrez]
AID - 10.3138/jvme.1016-153r [doi]
PST - ppublish
SO  - J Vet Med Educ. 2018 Summer;45(2):156-162. doi: 10.3138/jvme.1016-153r. Epub 2017 
      Nov 3.