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Brief Report
Integrated clinical experience with concurrent problem-based learning is associated with improved clinical reasoning among physical therapy students in the United States  
Brad Warren Willis, Anita Sethi Campbell, Stephen Paul Sayers, Kyle Gibson
J Educ Eval Health Prof. 2018;15:30.   Published online December 25, 2018
DOI: https://doi.org/10.3352/jeehp.2018.15.30
  • 19,360 View
  • 398 Download
  • 4 Web of Science
  • 3 Crossref
AbstractAbstract PDFSupplementary Material
Clinical reasoning (CR) is a key learning domain for physical therapy educators and a core skill for entry-level practitioners. Integrated clinical experience (ICE) and problem-based learning (PBL) have each been reported to improve interpersonal and social domains, while promoting knowledge acquisition and CR. Unfortunately, studies monitoring CR during ICE with concurrent PBL in physical therapy education are sparse. We hypothesized that ICE with concurrent PBL would be associated with improved self-reported CR in third-year student physical therapists (PTs) in the United States. The Self-Assessment of Clinical Reflection and Reasoning (SACRR) survey was administered to 42 student PTs at the beginning and end of their third and final year of didactic training. Between the pretest and posttest analyses, the participants completed faculty-led ICE and PBL coursework for 16 weeks. The overall SACRR score and 26 individual item scores were examined. The Wilcoxon rank-sum test and paired t-test were used, with statistical significance accepted at P< 0.05. Significant improvements were observed in the overall SACRR score (P< 0.001), including 6 of the 26 survey items centered around decision-making based on experience and evidence, as well as self-reflection and reasoning. ICE with PBL was associated with improved self-assessed CR and reflection in third-year student PTs in the United States. Monitoring the impact of curricular design on CR may improve educators’ ability to enhance cognitive and psychomotor skills, which underscores the importance of increasing the explicit use of theoretical frameworks and teaching techniques for coping with uncertainty as a way of enhancing entry-level training.

Citations

Citations to this article as recorded by  
  • What is complexity of hospital-based physiotherapy from the perspective of physiotherapists themselves? A grounded theory study
    Lieven de Zwart, Niek Koenders, Rudi Steenbruggen, Ria Nijhuis-van der Sanden, Thomas J Hoogeboom
    BMJ Open.2023; 13(4): e069368.     CrossRef
  • What methods are being used to teach clinical reasoning in physical therapy education and are they effective? A systematic review of literature
    Melissa Cencetti, Laurie Brogan, Anthony F. Carusotto, Kristen Karnish
    Physiotherapy Quarterly.2023; 31(3): 20.     CrossRef
  • Renovación metodológica y evaluación como plataforma para el desarrollo de competencias de razonamiento profesional
    Máximo Escobar Cabello, Iván Sanchez Soto
    Investigación en Educación Médica.2020; 9(34): 76.     CrossRef
Research Articles
Dental students’ perceptions of undergraduate clinical training in oral and maxillofacial surgery in an integrated curriculum in Saudi Arabia  
Mahmoud Al-Dajani
J Educ Eval Health Prof. 2015;12:45.   Published online September 24, 2015
DOI: https://doi.org/10.3352/jeehp.2015.12.45
  • 55,161 View
  • 215 Download
  • 20 Web of Science
  • 20 Crossref
AbstractAbstract PDF
Purpose
The aim was to understand dental students’ experiences with oral and maxillofacial surgery (OMS) teaching, their confidence levels in performing routine dento-alveolar operations, and the relationship between the students’ confidence level and the number of teeth extracted during the clinical practice. Methods: The survey questionnaire was distributed to 32 students at Aljouf University College of Dentistry, Saudi Arabia during their fourth and fifth year in 2015. Respondents were asked to rate 19 items, which represent a student’s confidence in performing routine surgical interventions, using a four-point Likert scale (1=very little confidence, 4=very confident). A multivariate regression was computed between average confidence and the variables: weekly hours devoted to studying oral and maxillofacial surgery, college grade point average, and the total number of teeth extracted. Results: The response rate was 100%. Students revealed the highest level of confidence in giving local anesthesia (96.9%), understanding extraction indications (93.8%), and performing simple extractions (90.6%). Less confidence was shown with handling difficult extractions (50.0%), extracting molars with separation (50.0%) or extracting third molars (56.3%). The average confidence in performing surgical procedures was 2.88 (SD=0.55), ranging from 1.79 to 3.89. A given student’s confidence increased with an increase in the total number of teeth extracted (P=0.003). Conclusion: It reveals a significant impact of undergraduate clinical training on students’ confidence in performing oral and maxillofacial surgery clinical procedures: The more clinical experience the students had, the more confidence they reported.

Citations

Citations to this article as recorded by  
  • Before and after: COVID‐19 impacts on dental students' well‐being, clinical competency and employment opportunities
    Eva Barron Hill, Chevvy Mastny‐Jensen, Carolina Loch
    European Journal of Dental Education.2024; 28(2): 522.     CrossRef
  • Evaluation of Self-Perceived Confidence and Competence in Oral Surgery among Final Year Undergraduate Students in Greece
    Eliza Panagiotidou, Theodoros Lillis, Ioannis Fotopoulos, Demos Kalyvas, Nikolaos Dabarakis
    European Journal of Dentistry.2024; 18(01): 360.     CrossRef
  • Development and impact of a clinical instructional video on self‐confidence in luxator use amongst dental undergraduates
    Zsumanna Awad, Richard Moore, Timothy Zoltie
    Oral Surgery.2023; 16(1): 13.     CrossRef
  • Development and validation of a questionnaire on the feelings of undergraduate dental students regarding child dental care
    Fabíola Fontes Galdino, Paula Carolina dos Santos Falcão, Luciane Rezende Costa, Cristiane Baccin Bendo, Tatiana Kelly da Silva Fidalgo
    Journal of Dental Education.2023; 87(6): 727.     CrossRef
  • Awareness of Novo Types of Composites among Dental Students and Interns in Makkah Region, Saudi Arabia. Cross Sectional Study
    Rahaf Abdulkhaliq Salem, Basem Adel Danish, Nada Ali Abdulaleem
    The Open Dentistry Journal.2023;[Epub]     CrossRef
  • A study to assess self-confidence in oral and maxillofacial surgery among undergraduate dental students in Assam
    Ujjal Das, Poorva Mansabdar
    International Journal of Oral Care and Research.2022; 10(2): 34.     CrossRef
  • The Impact of a 1-Year COVID-19 Extension on Undergraduate Dentistry in Dundee: Final Year Students’ Perspectives of Their Training in Oral Surgery
    Michaelina Macluskey, Angela S. Anderson, Simon D. Shepherd
    Dentistry Journal.2022; 10(12): 230.     CrossRef
  • Confidence of Dental Post-Graduates and General Practitioners on Performing Surgical Tooth Extraction
    Hassan A. Albrahim, Abdulaziz K. Alnabulsi, Muad M. Assiry, Mohammed M. Aloqbi, Hala M. Abdel-Alim, Maisa O. Al-Sebaei, Mohammed Y. Al-Ghamdi
    Annals of Dental Specialty.2022; 10(4): 101.     CrossRef
  • Assessment of undergraduate students in tooth extraction competence— A cohort study
    Kamran Ali, Haroon Shahid Qazi, Khalid Siddiqi, Rebecca Glanville
    European Journal of Dental Education.2021; 25(3): 607.     CrossRef
  • Dental students’ OMFS‐related experiences and interest in OMFS careers: An exploration
    Kyriaki C. Marti, Grayson Tishko, Sean P. Edwards, Marita R. Inglehart
    Journal of Dental Education.2021; 85(4): 569.     CrossRef
  • Practice with confidence: Analyzing confidence level of final year dental students from four Saudi dental colleges in Riyadh
    Alhanoof Aldegheishem, Ambreen Azam, Bashayer Alfahed, Ghaidaa Aldegheishem, Hanan Aldryhim, Abeer Alshami, Lamyia Anwaigi
    Saudi Journal of Biological Sciences.2021; 28(4): 2175.     CrossRef
  • Knowledge and Perception of Oral and Maxillofacial Surgery as a Specialty Amongst Dental and Medical Students at a Public University in the Gulf Cooperation Council (GCC): A Comparative Study
    Mohammad Kamal, Mohammad Abdulwahab, Ahmed Al-Zaid
    Journal of Maxillofacial and Oral Surgery.2021;[Epub]     CrossRef
  • Self-confidence in oral and maxillofacial surgery: a cross-sectional study of undergraduate dental students at Kuwait University
    Mohammad Kamal, Mohammad Abdulwahab
    BMC Medical Education.2021;[Epub]     CrossRef
  • A nationwide survey assessing the satisfaction of dental colleges graduates with their undergraduate experience in Saudi Arabia
    Abdulmonem A. Alshihri, Daliah M. Salem, Talal M. Alnassar, Nawal M. Alharbi, Christopher D. Lynch, Igor R. Blum, Nairn H.F. Wilson, Mohammed S. Aldossary
    Journal of Dentistry.2021; 110: 103685.     CrossRef
  • A city‐wide survey of dental students’ opinions on undergraduate oral surgery teaching
    Muammer Çağrı Burdurlu, Fatih Cabbar, Volkan Dağaşan, Zeynep Gülen Çukurova, Özge Doğanay, Gül Merve Yalçin Ülker, Berkem Atalay, Onur Gönül, Ceyda Özçakır Tomruk
    European Journal of Dental Education.2020; 24(2): 351.     CrossRef
  • An Insight into Acute Pericoronitis and the Need for an Evidence-Based Standard of Care
    Chelsea Wehr, Gianncarlo Cruz, Simon Young, Walid D. Fakhouri
    Dentistry Journal.2019; 7(3): 88.     CrossRef
  • Students’ perspectives on undergraduate oral surgery education
    Fatih Cabbar, Muammer Çağrı Burdurlu, Ceyda Ozcakir Tomruk, Begum Bank, Berkem Atalay
    BMC Medical Education.2019;[Epub]     CrossRef
  • Can Preoperative Intramuscular Single-Dose Dexamethasone Improve Patient-Centered Outcomes Following Third Molar Surgery?
    Mahmoud Al-Dajani
    Journal of Oral and Maxillofacial Surgery.2017; 75(8): 1616.     CrossRef
  • Dental students’ attitudes towards management of pain and anxiety during a dental emergency: educational issues
    Maud Guivarc'h, Bérengère Saliba-Serre, Bruno Jacquot, Pierre Le Coz, Frédéric Bukiet
    International Dental Journal.2017; 67(6): 384.     CrossRef
  • A Cohort Study of the Patterns of Third Molar Impaction in Panoramic Radiographs in Saudi Population
    Mahmoud Al-Dajani, Anas O Abouonq, Turki A Almohammadi, Mohammed K Alruwaili, Rayan O Alswilem, Ibrahim A Alzoubi
    The Open Dentistry Journal.2017; 11(1): 648.     CrossRef
Student feedback about the integrated curriculum in a Caribbean medical school  
P. Ravi Shankar, Ramanan Balasubramanium, Neelam R. Dwivedi, Vivek Nuguri
J Educ Eval Health Prof. 2014;11:23.   Published online September 30, 2014
DOI: https://doi.org/10.3352/jeehp.2014.11.23
  • 36,394 View
  • 208 Download
  • 9 Web of Science
  • 6 Crossref
AbstractAbstract PDF
Purpose
Xavier University School of Medicine adopted an integrated, organ system-based curriculum in January 2013. The present study was aimed at determining students’ perceptions of the integrated curriculum and related assessment methods. Methods: The study was conducted on first- to fourth-semester undergraduate medical students during March 2014. The students were informed of the study and subsequently invited to participate. Focus group discussions were conducted. The curriculum’s level of integration, different courses offered, teaching-learning methods employed, and the advantages and concerns relating to the curriculum were noted. The respondents also provided feedback about the assessment methods used. Deductive content analysis was used to analyze the data. Results: Twenty-two of the 68 students (32.2%) participated in the study. The respondents expressed generally positive opinions. They felt that the curriculum prepared them well for licensing examinations and future practice. Problem-based learning sessions encouraged active learning and group work among students, thus, improving their understanding of the course material. The respondents felt that certain subjects were allocated a larger proportion of time during the sessions, as well as more questions during the integrated assessment. They also expressed an appreciation for medical humanities, and felt that sessions on the appraisal of literature needed modification. Their opinions about assessment of behavior, attitudes, and professionalism varied. Conclusion: Student opinion was positive, overall. Our findings would be of interest to other medical schools that have recently adopted an integrated curriculum or are in the process of doing so.

Citations

Citations to this article as recorded by  
  • Adoption of Problem-Based Learning in Medical Schools in Non-Western Countries: A Systematic Review
    See Chai Carol Chan, Anjali Rajendra Gondhalekar, George Choa, Mohammed Ahmed Rashid
    Teaching and Learning in Medicine.2024; 36(2): 111.     CrossRef
  • Perceptions of the learning environment in ophthalmology residency training: A mixed method study
    Muhammad Irfan Kamaruddin, Andi Alfian Zainuddin, Berti Nelwan, Sri Asriyani, Firdaus Hamid, Tenri Esa, Irawan Yusuf
    The Asia Pacific Scholar.2024; 9(2): 39.     CrossRef
  • Promising score for teaching and learning environment: an experience of a fledgling medical college in Saudi Arabia
    Mohammed Almansour, Bader A. AlMehmadi, Nida Gulzar Zeb, Ghassan Matbouly, Waqas Sami, Al-Mamoon Badahdah
    BMC Medical Education.2023;[Epub]     CrossRef
  • Using generalizability analysis to estimate parameters for anatomy assessments: A multi‐institutional study
    Jessica N. Byram, Mark F. Seifert, William S. Brooks, Laura Fraser‐Cotlin, Laura E. Thorp, James M. Williams, Adam B. Wilson
    Anatomical Sciences Education.2017; 10(2): 109.     CrossRef
  • Recall of Theoretical Pharmacology Knowledge by 6th Year Medical Students and Interns of Three Medical Schools in Riyadh, Saudi Arabia
    A. A. Mustafa, H. A. Alassiry, A. Al-Turki, N. Alamri, N. A. Alhamdan, Abdalla Saeed
    Education Research International.2016; 2016: 1.     CrossRef
  • Designing and conducting a two day orientation program for first semester undergraduate medical students
    P. Ravi Shankar
    Journal of Educational Evaluation for Health Professions.2014; 11: 31.     CrossRef

JEEHP : Journal of Educational Evaluation for Health Professions