Teaching and Assessing Critical Thinking and Clinical Reasoning Skills in Medical Education

Majumder, Anwarul Azim; Sa, Bidyadhar; Alateeq, Fahad A.; Rahman, Syed Abidur

doi:10.4018/978-1-5225-7829-1.ch012

Cited by 9 publications

(10 citation statements)

References 85 publications

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“…More than twothirds of the reported mistakes in diagnosis are linked to physician's lack of critical thinking ability in the present context. Given the belief that healthcare professionals must be logical thinkers, there is no consensus on the most successful model to teach and evaluate critical thinking and clinical reasoning skills (8). Recent research, which evaluated a wide range of quantitative and qualitative competencies, including behavioural and communication skills, showed that the OSCE was valid and reliable and essential for positive educational effects.…”

Section: Discussionmentioning

confidence: 99%

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Design and Validation of an integrated Objective Structured Clinical Examination (i-OSCE) for non-surgical aesthetics program

Kumar

Rahman

2021

Preprint

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Introduction: The Objective Structured Clinical Examination (OSCE) is a popular and practical method for evaluating trainee physicians’ competencies. To help assess non-surgical aesthetics students’ critical thinking and relevant abilities, we developed a novel assessment tool based on the OSCE, the i-OSCE (Integrated objective structured Clinical examination).Methods: Initially, an expert panel consisting of 5 Aesthetic Practitioners with over fifteen years of experience and a senior clinical academic were selected to develop a blueprint for i-OSCE. Through this blueprint, essential qualities and skills were identified for the assessment. To ensure the process standardisation, training workshops for examiners and simulated patients were organised. The final i-OSCE consisted of 12 stations (four clinical, four critical thinking, and four rest stations lasting 180 minutes.Results: The Interclass correlation coefficient between the station checklist items was 0.946 (average measure upper bound 0.916, lower bound 0.968; p < 0.00), considered to be significant. The Inter-Item Correlation Matrix among the clinical station checklist and critical thinking checklist items also showed statistical significance. The Pearson correlation coefficient (PCC) used to ascertain the correlation between checklist rating and global rating, yielding a high correlation (0.80 to 0.934).Conclusion: The i-OSCE has been proven to be a useful and reliable assessment tool to evaluate clinical competence and critical thinking in non-surgical aesthetics education.

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Section: Discussionmentioning

confidence: 99%

“…However, these are limited in their lack of measuring the particular aspect of health profession-related attributes, inability to evaluate medical professionals' practical reality, and effectively assess psychometric properties (7,8).…”

Section: Introductionmentioning

confidence: 99%

Design and Validation of an integrated Objective Structured Clinical Examination (i-OSCE) for non-surgical aesthetics program

Kumar

Rahman

2021

Preprint

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“…In other words, it is a tool to form conclusions, judgments, or inferences from facts or premises [6]. Clinical reasoning is a context dependent way of thinking and decision making in professional practice to guide practice actions [7]. We discussed fallacy-free reasoning in medicine in more detail elsewhere [8].…”

Section: Some Philosophical Contributions To Cherish and Develop In The Futurementioning

confidence: 99%

Quo Vadis Medicina Ex Testimoniis? Part 2. After A Quarter of Century, What Now? Some Questions and Answers

Jenicek¹

2020

JJGH

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Despite being a young domain with a one-generation history or so, evidence-based medicine has benefitted from thousands of contributions, as reflected in numerous book titles and subjects, and original articles. EBM-related philosophical insights are increasing as are endeavours in reasoning, modern argumentation, considerations of causality, and grading of evidence. The scientific method is in focus in most communications including research projects and ensuing medical articles. Quantitative and qualitative methods will further expand across evidence-based methodology and applications. The more the future is obscure, the more promising it may be for some. How promising is evidence-based medicine? The last quarter of century created today's evidence-based medicine, focused mostly on various beneficial (clinical trials) and noxious effects of various non-clinical and clinical factors on health. Clinical epidemiology and biostatistics methodologically prevail. In addition to this historical experience the ways of thinking, exchanging experience with various interested parties and peers as well as the ways of communicating such experience develop and rightly so. In other terms, we may be asking ourselves if today EBM today isn't more than the production of high-quality evidence in quantitative and qualitative terms. Yes, it is. But shouldn't it be more? EBM relies also on high quality, pragmatic reasoning, informal logic, critical thinking, and decision making in the context of modern philosophy.

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“…Critical thinking in medicine deserves more detail and discussion, as also presented elsewhere [49][50][51][52].…”

Section: What Are Ebm's Applications and Uses Across The Health Sciences?mentioning

confidence: 99%

Quo Vadismedicina Ex Testimoniis? A Quarter Century after its Inception, Where is Evidence-Based Medicine Now? More Questions than Answers

Jenicek¹

2020

JJGH

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Teaching and Assessing Critical Thinking and Clinical Reasoning Skills in Medical Education

Cited by 9 publications

References 85 publications

Design and Validation of an integrated Objective Structured Clinical Examination (i-OSCE) for non-surgical aesthetics program

Design and Validation of an integrated Objective Structured Clinical Examination (i-OSCE) for non-surgical aesthetics program

Quo Vadis Medicina Ex Testimoniis? Part 2. After A Quarter of Century, What Now? Some Questions and Answers

Quo Vadismedicina Ex Testimoniis? A Quarter Century after its Inception, Where is Evidence-Based Medicine Now? More Questions than Answers

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