Virtual patients to explore and develop clinical case summary statement skills amongst Japanese resident physicians: a mixed methods study

BMC Medical Education
Brian S HeistHiroyuki Kobayashi

Abstract

In Western clinical training, formulation of a summary statement (SS) is a core exercise for articulation, evaluation, and improvement of clinical reasoning (CR). In Japanese clinical training, structured guidance in developing CR, including opportunity for SS practice, is uncommon, and the present status of case summarization skills is unclear. We used Virtual Patients (VPs) to explore Japanese junior residents' SS styles and the effectiveness of VPs on improving SS quality. All first-year junior resident physicians at 4 residency programs (n = 54) were assigned randomized sequences of 5 VP modules, rolled out at 6 day intervals. During each module, participants free-texted a case summary and then reviewed a model summary. Thematic analysis was used to identify SS styles and each SS was categorized accordingly. Frequency of SS styles, and SS CR quality determined by 1) an internally developed Key Feature rubric and 2) demonstration of semantic qualification, were compared across modules. Four SS styles were identified: numbered features matched to differential diagnoses, differential diagnoses with supportive comments, feature listing, and narrative summarization. From module #1 to #5, significant increases in the narrative su...Continue Reading

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Citations

Jun 30, 2018·The Journal of Nursing Education·Carina GeorgElisabet Welin
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Jul 14, 2021·Advances in Health Sciences Education : Theory and Practice·Ching-Yi LeeLynn Monrouxe

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