Accepted Type
Facilitated and Dedicated Poster
Code
LP7 - 01
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Innovation
Will the presenter be a:
Jr. Faculty (less than 5 years in practice)
Affiliation
Considered for Poster
yes
Title
Assessing clinical reasoning via virtual technology
Length of Presentation
Background/Purpose
The UGME of Université de Montréal has been offering to students suspected to have clinical reasoning difficulties a session at the simulation center. During the session, a student is observed by two experienced clinicians during a history and physical examination (PE) of two scripted clinical scenarios using standardized patients. Clinical reasoning is assessed at three different moments (after the history taking, the PE and the final communication with the patient). At the end of the session, feedback is communicated to the student. Due to social distancing during COVID-19, all simulation activities at the sim center were suspended.
Summary of the Innovation
Supervisors from the program conducted an adapted simulated session using Zoom ® with a referred student. Clinical reasoning was evaluated using the same clinical scenarios which did not need to be adapted. PE had to be modified since it could not be observed. Instead, the student had to explain the rationale for selecting examination techniques relevant to the case. No standardized patient was used. Each supervisor played in turns the role of the patient while the other observed the simulated clinical encounter.
Results:
Assessment of clinical reasoning, as well as communication were successfully assessed via virtual technology. PE assessment was adapted but clinical reasoning associated with the selection of appropriate exams relevant to the case could be assessed.
Conclusion
Assessment of clinical reasoning of medical students using virtual technology is a feasible alternative when availability of the simulation center is limited or when social distancing is required.
Keyword 1
assessment
Keyword 2
clinical reasoning
Keyword 3
virtual technologies
Level of Training
Undergraduate
Abstract Themes
Assessment
Assessment
Formative
Additional Theme (First choice)
Undergraduate
Additional Theme (Second Choice)
Assessment
Additional Theme (Third Choice)
Authors
Presenter
René Wittmer
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
