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Skill Session on Writing Patient Assessments for Pediatric Clerkship Students.


ABSTRACT: Introduction:Formulating written patient assessments requires the student to synthesize subjective and objective information and use clinical reasoning to reach a diagnosis. Medical students lack this skill, and clinical experience is not enough to acquire it. This session provides a structured process for learning how to formulate a patient assessment. Methods:Third-year medical students participated in a large-group interactive skill session at the beginning of their pediatrics clerkship. Instructors following a scripted model walked students through practice examples to ultimately formulate a complete written patient assessment. The session covered data synthesis, use of appropriate medical terminology, and differential diagnosis development. Students used an audience response system to practice these skills. Results:Over 1 academic year, 250 medical students participated in six sessions, with an average of 40-50 attendees per session. Over 90% of students completed pre- and postsession written patient assessments. These assessments were evaluated using portions of the Pediatric History and Physical Exam Evaluation grading rubric. The session had a positive effect on patient assessment formulation skills, with a significant increase in scores after the session. Discussion:The session improved students' skill in generating more complete written patient assessments. Almost all students found the session valuable regardless of prior clinical experience. Nearly 50% of students felt inadequately prepared to formulate a written patient assessment prior to the session, revealing a skills gap for learners and a curricular teaching gap. This skill session provided a structured method and active learning format for teaching this essential clinical skill.

SUBMITTER: Khera S 

PROVIDER: S-EPMC7666838 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Skill Session on Writing Patient Assessments for Pediatric Clerkship Students.

Khera Sofia S   Gavvala Sheela S   Parlar-Chun Raymond R   Huh Hanna H   Hsu Jean J   Ford Christine C  

MedEdPORTAL : the journal of teaching and learning resources 20201109


<h4>Introduction</h4>Formulating written patient assessments requires the student to synthesize subjective and objective information and use clinical reasoning to reach a diagnosis. Medical students lack this skill, and clinical experience is not enough to acquire it. This session provides a structured process for learning how to formulate a patient assessment.<h4>Methods</h4>Third-year medical students participated in a large-group interactive skill session at the beginning of their pediatrics  ...[more]

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