Applying Video-Reflexivity for Learning Clinical Reasoning during Oral Case Presentation: a Realist Evaluation Study

Clinical reasoning which defined as the thinking through the various aspects of patient care to arrive at a reasonable decision regarding the prevention, diagnosis, and treatment of patients, is an important ability of medical doctors. Although clinical reasoning is very important, there are few formal educational courses during the training of medical learners in the past. Most of the medical learners learned clinical reasoning through “learning by doing” in the clinical practice. Oral case presentation is an important and routine activity in clinical practice. It is a process to transmit patients’ information orally to other health care professionals. During oral case presentation, medical learners are trained to organize large amounts of clinical data of a specific patient. The evidence of a medical learner’s diagnostic and therapeutic reasoning demonstrated in the oral case presentation can be assessed according to the data organization, the presentation structure, and contents of the assessments and plans. Video-reflexivity is a video-based method that allows participants to confront footage of themselves in a learning environment, and is a line of reasoning affiliated with qualitative research. It is the process through which video recorded activities are viewed as the key elements to trigger self-regulated learning, which is a way to learn clinical reasoning.This study intends to observe the process and the learning of clinical reasoning during oral case presentation of medical learners. The video-reflexivity intervention is plan to be applied. The transcripts of the contents of oral case presentations will be analysed for the presentation of clinical reasoning. The transcripts of focus group interviews will be analysed by realist evaluation methods for searching the context-mechanism-outcome of the learning of clinical reasoning during oral case presentation, including the impact of the video-reflexivity intervention. This study also plans to unpack the differing aspects of clinical reasoning in oral case presentation in order to facilitate the learning of clinical reasoning to reduce the malpractice and improve the patient’s safety.

Project ID:PF10907-2079
External Project ID:MOST109-2511-H182-003-MY2