医学教育つれづれ

医学教育に関する論文のPOINTを書き出した備忘録的なブログです。

臨床推論

専門的な推論能力を養うためのLbC(Learning by concordance)。AMEE Guide No.141

臨床推論の勉強会では診断を特定するタイプの症例提示が多い、ただ、必ずしも決め切れるものではなく、状況や諸々の背景の中で、臨床現場では、判断を迫られる 学習者が専門家でも意見が分かれることが起こりうることを知るという勉強法として活用できそう。…

ガイドライン遵守をテーマとしたシリアスゲームの効果:1.5年の追跡調査によるコホート研究

Effectiveness of a serious game addressing guideline adherence: cohort study with 1.5-year follow-up Tobias Raupach, Insa de Temple, Angélina Middeke, Sven Anders, Caroline Morton & Nikolai Schuelper BMC Medical Education volume 21, Articl…

診断の速さと遅さ

Diagnosing, fast and slowhttp://orcid.org/0000-0001-6086-3279 JJ Coughlan1, Cormac Francis Mullins2, Thomas J Kiernan3 pmj.bmj.com 診断ミスは医療における重大な罹患率と死亡率の原因であることがますます認識されてきている。この記事では、臨床的…

尺度を用いた医学生の病歴聴取の臨床推論の評価

Assessing clinical reasoning in undergraduate medical students during history taking with an empirically derived scale for clinical reasoning indicators Sophie Fürstenberg, Tillmann Helm, Sarah Prediger, Martina Kadmon, Pascal O. Berberat …

推論能力評価の心理学的検証

Psychometric validation of the reconstructed version of the assessment of reasoning toolSatid Thammasitboon , Moushumi Sur , Joseph J. Rencic , Gurpreet Dhaliwal , Shelley Kumar , Suresh Sundaram & show allPublished online: 17 Oct 2020Down…

腹部CTスキャンを読影するための12のヒント

Twelve tips for interpreting abdominal CT scansSailantra Sivathasan , Jakub Nagrodzki ORCID Icon & David McGowanPublished online: 03 Nov 2020Download citation https://doi.org/10.1080/0142159X.2020.1839033 https://www.tandfonline.com/doi/fu…

医師の抗菌薬治療選択の背景にある治療的推論の探索的研究

Following the Script: An Exploratory Study of the Therapeutic Reasoning Underlying Physicians’ Choice of Antimicrobial TherapyAbdoler, Emily A. MD, MAEd; O’Brien, Bridget C. PhD; Schwartz, Brian S. MDAuthor InformationAcademic Medicine: Au…

教育を通じた診断の改善

Improving Diagnosis Through EducationOlson, Andrew P.J. MD; Graber, Mark L. MDAuthor InformationAcademic Medicine: August 2020 - Volume 95 - Issue 8 - p 1162-1165doi: 10.1097/ACM.0000000000003172 journals.lww.com 診断は、安全で効果的な医療…

研修医における臨床思考の発達:教育者の視点から

The development of clinical thinking in trainee physicians: the educator perspective Rachel Locke, Alice Mason, Colin Coles, Rosie-Marie Lusznat & Mike G. Masding BMC Medical Education volume 20, Article number: 226 (2020) bmcmededuc.biome…

医学生の臨床推論能力を評価するための新しい観察評価ツールおよび診察後評価ツール

Validity, reliability and feasibility of a new observation rating tool and a post encounter rating tool for the assessment of clinical reasoning skills of medical students during their internal medicine clerkship: a pilot study Catharina M…

医学生4年生のプライマリ・ケア模擬診察

Fourth-year medical students’ experiences of diagnostic consultations in a simulated primary care settingAnnamaria Witheridge1, Gordon Ferns2 and Wesley Scott-Smith21Cranfield Defence and Security, Cranfield University, Shrivenham, Swindon…

医学教育におけるミラーのピラミッドの再検討:従来の評価と臨床推論のギャップ

Revisiting Miller’s pyramid in medical education: the gap between traditional assessment and diagnostic reasoningAnnamaria Witheridge, Gordon Ferns and Wesley Scott-SmithDivision of Medical Education, Brighton and Sussex Medical School, Fa…

臨床推論スキルを向上させるためのゲームと従来のシミュレーションの比較:看護学生における無作為化研究

Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration: a randomized study in nursing students Antonia Blanié, Michel-Ange Amorim & Dan B…

臨床推論の学習に関する学生の経験

Student experiences of learning clinical reasoningMegan Anakin Madelyne Jouart Julie Timmermans Ralph PinnockFirst published: 24 March 2019https://doi.org/10.1111/tct.13014 https://onlinelibrary.wiley.com/doi/full/10.1111/tct.13014?af=R 背…

これまでのシャドーイングからの活動的な見習いへの変革

Transforming traditional shadowing: engaging millennial learners through the active apprenticeshipDaniel Restrepo Daniel Hunt Eli MiloslavskyFirst published: 22 November 2018https://doi.org/10.1111/tct.12975 https://onlinelibrary.wiley.com…

アートを使用して視覚診断を改善する

Using art to improve visual diagnosis: a reviewJasmine Rana Samantha Pop Susan BurginFirst published: 16 January 2020https://doi.org/10.1111/tct.13130 https://onlinelibrary.wiley.com/doi/full/10.1111/tct.13130?af=R 背景 健康専門職の研修生…

臨床推論ツールを広めるポッドキャストの使用

Morning Report for all: the use of podcasts to disseminate clinical reasoning toolsRyan C Augustin Eliana Bonifacino Sarah A TilstraFirst published: 24 October 2019 https://doi.org/10.1111/medu.13964 https://onlinelibrary.wiley.com/doi/ful…

人間と機械:臨床的推論を学習するためのより共生的なアプローチへの移行

Humans and machines: Moving towards a more symbiotic approach to learning clinical reasoningRalph Pinnock, Jenny McDonald, Darren Ritchie & Steven J. DurningPublished online: 28 Oct 2019Download citation https://doi.org/10.1080/0142159X.20…

医学生に診断のための検査を教えるためのインタラクティブなホワイトボードの使用

Interactive whiteboard use in clinical reasoning sessions to teach diagnostic test ordering and interpretation to undergraduate medical students Fares Gouzi, Christophe Hédon, Léo Blervaque, Emilie Passerieux, Nils Kuster, Thierry Pujol, J…

病棟における臨床推論(緊張性気胸)とその対応シナリオ

Clinical Reasoning in the Ward Setting: A Rapid Response Scenario for Residents and AttendingsMegan Ohmer, Steven J. Durning, MD, PhD, Walter Kucera, MD, Matthew Nealeigh, DO, Sarah Ordway, MD,Published: September 27, 2019 | 10.15766/mep_2…

臨床ベースの対話型ディスカッションセッション:研修医からのフィードバック

Clinical vignette-based interactive discussion sessions: feedback from residents Published 24 September 2019 Volume 2019:10 Pages 829—833 DOI https://doi.org/10.2147/AMEP.S218157 www.dovepress.com はじめに 臨床症例は、臨床および基礎科学の…

3Dシリアスゲームを用いて、病歴聴取を医学生に学ばせる。

Impact of Using a 3D Visual Metaphor Serious Game to Teach History-Taking Content to Medical Students: Longitudinal Mixed Methods Pilot StudyHussain Alyami1,2, MBChB, FRANZCP, PGDCBT ; Mohammed Alawami3, MBChB, FRACP ; Mataroria Lyndon1, M…

臨床推論の用語

The terminology of clinical reasoning in health professions education: Implications and considerationsMeredith Young ORCID Icon, Aliki Thomas ORCID Icon, David Gordon, Larry Gruppen ORCID Icon, Stuart Lubarsky, Joseph Rencic ORCID Icon, sh…

学ぶことを学ぶこと:学習の計画においてマスター適応学習者によって用いられる戦略を明らかにするための定性的研究

Learning to learn: A qualitative study to uncover strategies used by Master Adaptive Learners in the planning of learningLinda Regan, Laura R. Hopson, Michael A. Gisondi & Jeremy BranzettiPublished online: 09 Jul 2019Download citation http…

朝のゲーム的ランダムケース検討会

Gaming the System: Creation of a Random Case-Generating Game for Use in Morning Report Present address for Dr Kamra: Clinicas del Camino Real, Ventura, California.Author links open overlay panelPallaviKamraMDaEmily C.Borman-ShoapMDaLeiZhan…

臨床推論評価法 スコーピングレビューと実践的ガイダンス

Clinical Reasoning Assessment MethodsA Scoping Review and Practical Guidance Daniel, Michelle, MD, MHPE; Rencic, Joseph, MD; Durning, Steven J., MD, PhD; Holmboe, Eric, MD; Santen, Sally A., MD, PhD; Lang, Valerie, MD, MHPE; Ratcliffe, Tem…

医師の意思決定力はどのような因子が絡んで成長するか

Complex decision making in medical training: key internal and external influences in developing practical wisdom Paul Paes、 David Leat、 Jane Stewarthttps://doi.org/10.1111/medu.13767 https://onlinelibrary.wiley.com/doi/full/10.1111/medu.…

診断エラーを減らすためのチェックリスト

Checklists to Reduce Diagnostic ErrorsEly, John W., MD; Graber, Mark L., MD; Croskerry, Pat, MD, PhD Academic Medicine: March 2011 - Volume 86 - Issue 3 - p 307-313doi: 10.1097/ACM.0b013e31820824cd https://journals.lww.com/academicmedicine…

初学者の診断能力の育成:意図的な熟考を導くことの価値

Fostering novice students' diagnostic ability: the value of guiding deliberate reflection Sílvia Mamede Taciana Figueiredo‐Soares Silvana M Elói Santos First published: 27 March 2019 https://doi.org/10.1111/medu.13829 https://onlinelibrary…

臨床の不確実性を生かす12のヒント集

Twelve tips for thriving in the face of clinical uncertaintyGalina Gheihman, Mark Johnson & Arabella L. SimpkinPublished online: 26 Mar 2019Download citation https://doi.org/10.1080/0142159X.2019.1579308 https://www.tandfonline.com/doi/ful…