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Promoting clinical reasoning in general practice trainees: role of the clinical teacher

机译:在全科医师中促进临床推理:临床老师的作用

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Background: Clinical reasoning requires knowledge, cognition and metacognition, and is con-textually bound. Clinical teachers can and should play a key role in explicitly promoting clinical reasoning.Context: The aim of this article is to relate the clinical reasoning Literature to the general practice or family medicine context, and to provide clinical teachers with strategies to promote clinical reasoning.Innovation: It is important that the clinical teacher teaches trainees the specific skills sets of the expert generaL practitioner (e.g. synthesizing skills, recognising prototypes, focusing on cues and clues, using community resources and deaLing with uncertainty) in order to promote clinicaL reasoning in the context of general practice or family medicine. Clinical teachers need to understand their own reasoning processes as well as be able to convey that knowledge to their trainees. They also need to understand the developmental stages of clinical reasoning and be able to nurture each trainee's own expertise. Strategies for facilitating effective clinical reasoning in trainees include adequate exposure to patients, offering the trainees opportunity for reflection and feedback, and coaching on the techniques of reasoning in the general practice contextImplications: The journey to expertise in clinical reasoning is unique to each clinician, with different skills developing at different rates, depending on content, context and past experience. Doctors enter into general practice training with the building blocks of biomedical and clinical knowledge and a desire to learn how to be a generaL practitioner. ClinicaL teachers are integral in the process of helping trainees learn how to 'think like a generaL practitioner'.
机译:背景:临床推理需要知识,认知和元认知,并且在上下文中是必然的。临床教师可以并且应该在明确促进临床推理中发挥关键作用。语境:本文的目的是将临床推理文献与一般实践或家庭医学背景联系起来,并为临床教师提供促进临床推理的策略。创新:临床老师必须向受训者传授专家一般从业者的特定技能(例如,综合技能,识别原型,专注于线索和线索,利用社区资源和不确定性处理),以促进临床推理在临床中的应用。全科医学或家庭医学的背景。临床教师需要了解自己的推理过程,并能够将其知识传达给受训者。他们还需要了解临床推理的发展阶段,并能够培养每个受训者自己的专业知识。促进受训者进行有效临床推理的策略包括:充分接触患者,为受训者提供反思和反馈的机会以及在一般实践环境中指导推理技术。含义:每位临床医生都有独特的临床推理经验,根据内容,上下文和过去的经验,不同的技能以不同的速度发展。医生们以生物医学和临床知识的组成部分以及渴望学习成为普通执业医师的愿望来进行一般实践培训。在帮助受训者学习如何“像普通从业者一样思考”的过程中,诊所教师是不可或缺的。

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