Addressing clinical encounter variability in family medicine clerkships

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DOI:

https://doi.org/10.36834/cmej.81579

Abstract

Implication Statement

Clinical reasoning and associated clinical decision-making (CDM) skills are crucial to determining an accurate diagnosis and appropriate management plan. Medical trainees are intended to learn these skills in the clinical environment, yet these settings are inherently variable leading to gaps in clinical cases encountered. Selecting and incorporating meaningful clinical scenarios with active student participation help address variability in clinical encounters necessary to enhance learning CDM. Expanding CDM sessions using key feature questions (KFQs) and a team-based learning (TBL) approach could address clinical encounter gaps and continued development of CDM skills across clerkships.

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Author Biographies

Delane Linkiewich, University of Guelph

At the time of the study, Delane Linkiewich was Research Assistant in the Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Oksana Babenko, University of Alberta

Oksana Babenko is Associate Professor in the Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Karen L Forbes, University of Alberta

Karen L. Forbes is Professor in the Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Ann Lee, University of Alberta

Ann Lee is Associate Professor in the Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

References

1. Lam ACL, Tang B, Liu C, et al. Variation in case exposure during internal medicine residency. JAMA Netw Open. 2024 Dec;7(12):e2450768. https://doi.org/10.1001/jamanetworkopen.2024.50768.

2. Forbes KL, Foulds JL. A team-based learning approach during pediatric clerkship to promote clinical reasoning. Acad Pediatr. 2023 Sept-Oct; 23(7):1459–1464. https://doi.org/10.1016/j.acap.2023.04.002.

3. Page G, Bordage G, Allen T. Developing key-feature problems and examinations to assess clinical decision-making skills. Acad Med. 1995 Mar;70(3):194–201. https://doi.org/10.1097/00001888-199503000-00009

4. Parmelee D, Michaelsen LK, Cook S, Hudes PD. Team-based learning: a practical guide: AMEE Guide No. 65. Med Teach. 2012 Apr; 34(5):e275–e287. https://doi.org/10.3109/0142159X.2012.651179.

5. Müller S, Settmacher U, Koch I, Dahmen U. A pilot survey of student perceptions on the benefit of the OSCE and MCQ modalities. GMS J Med Educ. 2018 Nov;35(4):Doc51. https://doi.org/10.3205/zma001197

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Published

2025-09-22

How to Cite

1.
Linkiewich D, Babenko O, Forbes KL, Lee A. Addressing clinical encounter variability in family medicine clerkships . Can. Med. Ed. J [Internet]. 2025 Sep. 22 [cited 2025 Dec. 4];. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/81579

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