How to learn clinical reasoning in Internal Medicine?

One of the most widely used learning tools in teaching clinical reasoning is clinical reasoning training (CRT). The objective of our study was to assess the contribution of CRA in the teaching of Internal Medicine. Our study was exploratory, descriptive and cross-sectional, conducted with 16 students. Our work was based on three ARC sessions on the topics of Raynaud's syndrome, dry syndrome and weight loss. A pre- and post-session evaluation was performed. The sessions were evaluated by a Likert-type questionnaire. All students were familiar with CRA. The relevance of the theme was judged at least satisfactory for the first 2 sessions, unsatisfactory for the 3rd session. The students had better prepared the sessions and participated more satisfactorily from one session to another. The improvement of the reasoning and the intervention of the instructor were judged at least satisfactory by all the students. Despite its limitations, our study confirmed the relevance of using CRA in internal medicine teaching.

Autorentext

Desde 2013, Fatma Saïd ha optado por seguir la carrera de hospitalista universitaria en Medicina Interna dentro de la Facultad de Medicina Interna. Así, además de su actividad asistencial, debía asegurar una actividad pedagógica que exigía el uso de varias herramientas de aprendizaje, entre ellas el aprendizaje del razonamiento clínico.