Addressing clinical encounter variability in family medicine clerkships
DOI:
https://doi.org/10.36834/cmej.81579Abstract
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.
Downloads
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Delane Linkiewich, Oksana Babenko, Karen L Forbes, Ann Lee

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Submission of an original manuscript to the Canadian Medical Education Journal will be taken to mean that it represents original work not previously published, that it is not being considered elsewhere for publication. If accepted for publication, it will be published online and it will not be published elsewhere in the same form, for commercial purposes, in any language, without the consent of the publisher.
Authors who publish in the Canadian Medical Education Journal agree to release their articles under the Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 Canada Licence. This licence allows anyone to copy and distribute the article for non-commercial purposes provided that appropriate attribution is given. For details of the rights an author grants users of their work, please see the licence summary and the full licence.


