Development of clinical reasoning in an undergraduate medical program at a Brazilian university
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200110 |
Resumo: | 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. |
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São Paulo medical journal (Online) |
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Development of clinical reasoning in an undergraduate medical program at a Brazilian universityQualitative researchStudents, medicalEducation, medicalCurriculumCognitionABSTRACT 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.Associação Paulista de Medicina - APM2016-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200110Sao Paulo Medical Journal v.134 n.2 2016reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2015.00080108info:eu-repo/semantics/openAccessRoberti,AlexandreRoberti,Maria do Rosário FerrazPereira,Edna Regina SilvaPorto,Celmo CelenoCosta,Nilce Maria da Silva Camposeng2016-05-19T00:00:00Zoai:scielo:S1516-31802016000200110Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2016-05-19T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Development of clinical reasoning in an undergraduate medical program at a Brazilian university |
title |
Development of clinical reasoning in an undergraduate medical program at a Brazilian university |
spellingShingle |
Development of clinical reasoning in an undergraduate medical program at a Brazilian university Roberti,Alexandre Qualitative research Students, medical Education, medical Curriculum Cognition |
title_short |
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_sort |
Development of clinical reasoning in an undergraduate medical program at a Brazilian university |
author |
Roberti,Alexandre |
author_facet |
Roberti,Alexandre Roberti,Maria do Rosário Ferraz Pereira,Edna Regina Silva Porto,Celmo Celeno Costa,Nilce Maria da Silva Campos |
author_role |
author |
author2 |
Roberti,Maria do Rosário Ferraz Pereira,Edna Regina Silva Porto,Celmo Celeno Costa,Nilce Maria da Silva Campos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Roberti,Alexandre Roberti,Maria do Rosário Ferraz Pereira,Edna Regina Silva Porto,Celmo Celeno Costa,Nilce Maria da Silva Campos |
dc.subject.por.fl_str_mv |
Qualitative research Students, medical Education, medical Curriculum Cognition |
topic |
Qualitative research Students, medical Education, medical Curriculum Cognition |
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. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200110 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200110 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2015.00080108 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.134 n.2 2016 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209264803512320 |