Basics of clinical reasoning Lecturer: Nato Pitskhelauri MD, PhD E-mail: nato.pitskhelauri@tsu.ge “Training medical students for the twenty-first century”. • CBCR is a problem-oriented teaching method that resembles problem-based learning. • The method involves presentation of clinical cases, describing a patient case in the way it is presented to a clinician. • By means of group discussion, students analyze presented data and formulate diagnosis. • Sessions are conducted by consultants (lecturers), and two students from a group who have a peer teacher task. Peer teachers make presentation of the patient in formation and disclose more information at the right moments during the session. • Peer teachers lead group discussion and participate in it together with the other students. • Peer teachers are given peer teacher version of the case in advance, so they have time and possibility to prepare for it. Students know general subject of the case in advance. https://seminarebi.wordpress.com/ Seminar topics: • Seminar # 1, jaundice; • Seminar # 2, loss of consciousness (transient loss of consciousness); • Seminar # 3, lower limb edema (swollen legs ); • Seminar # 4, cough; • Seminar # 5, chest pain; • Seminar # 6, arthralgia (joint pain); • Seminar # 7, shortness of breath; • Seminar # 8, fatigue (tiredness); • Exam (10). • Pear-teacher; 9 practical sessions; group work… Assessment Criteria: Preparation and active participation during the session- 30%. Measured as follows: Students are evaluated by 10-point system, where 1 – 3 points-below expectation, 5 –7-adequate / meets expectations, and 8 - 10 -above expectation. Respectively, total points earned during the all 9 practical sessions: 45 - 63 points equalto 20%, < 45 equal to 10%, and> 63 equal to 30%. Absence at the practical session equals to 0 points. Pear teacher role-play – preparation and skill in leading the group 30%. Final exam - 40% (admission threshold: 11%). Literature: • https://books.google.ge/books/about/CURRE NT_Medical_Diagnosis_and_Treatment.html?i d=oixTr0Alu9cC&printsec=frontcover&source= kp_read_button&redir_esc=y#v=onepage&q& f=true • https://www.osmosis.org/learn/Clinical_Reas oning:_Jaundice • … Thank you for your attention!
