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Tytuł:
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The Challenging Case Conference: A Gamified Approach to Clinical Reasoning in the Video Conference Era.
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Autorzy:
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Kobner S; LAC+USC Medical Center, Keck School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California.
Grassini M; LAC+USC Medical Center, Keck School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California.
Le NN; LAC+USC Medical Center, Keck School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California.
Riddell J; LAC+USC Medical Center, Keck School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California.
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Źródło:
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The western journal of emergency medicine [West J Emerg Med] 2020 Dec 23; Vol. 22 (1), pp. 136-138. Date of Electronic Publication: 2020 Dec 23.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: <2011>- : Irvine, CA : Department of Emergency Medicine, University of California, Irvine
Original Publication: Orange, CA : California Chapter of the American Academy of Emergency Medicine
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MeSH Terms:
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Clinical Competence*
Clinical Reasoning*
Videoconferencing*
Education, Distance/*methods
Emergency Medicine/*education
Internship and Residency/*methods
Simulation Training/*methods
COVID-19/prevention & control ; California ; Curriculum ; Humans
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References:
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Entry Date(s):
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Date Created: 20210113 Date Completed: 20210121 Latest Revision: 20210122
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Update Code:
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20240105
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PubMed Central ID:
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PMC7806328
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DOI:
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10.5811/westjem.2020.12.49133
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PMID:
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33439820
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The development of clinical reasoning abilities is a core competency of emergency medicine (EM) resident education and has historically been accomplished through case conferences and clinical learning. The advent of the SARS-CoV-2 pandemic has fundamentally changed these traditional learning opportunities by causing a nationwide reliance on virtual education environments and reducing the clinical diversity of cases encountered by EM trainees.We propose an innovative case conference that combines low-fidelity simulation with elements of gamification to foster the development of clinical reasoning skills and increase engagement among trainees during a virtual conference. After a team of residents submits a real clinical case that challenged their clinical reasoning abilities, a different team of residents "plays" through a gamified, simulated version of the case live on a video conference call. The case concludes with a facilitated debriefing led by a simulation-trained faculty, where both the resident teams and live virtual audience discuss the challenges of the case. Participants described how the Challenging Case Conference improved their perceptions of their clinical reasoning skills. Audience members reported increased engagement compared to traditional conferences. Participants also reported an unexpected, destigmatizing effect on the discussion of medical errors produced by this exercise. Residency programs could consider implementing a similar case conference as a component of their conference curriculum.