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SPIRALS: An Approach to Non-Linear Thinking for Medical Students in the Emergency Department

Context We lack guidelines to inform the necessary components of an emergency medicine undergraduate rotation. Traditionally, clinical reasoning has been taught using linear thought processes likely not ideal for diagnostic and management decisions made in the emergency department.  Methods We used...

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Autores principales: Small, Rebecca N, Fleet, Lisa, Whalen, Desmond, Renouf, Tia S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489793/
https://www.ncbi.nlm.nih.gov/pubmed/32944446
http://dx.doi.org/10.7759/cureus.9727
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author Small, Rebecca N
Fleet, Lisa
Whalen, Desmond
Renouf, Tia S
author_facet Small, Rebecca N
Fleet, Lisa
Whalen, Desmond
Renouf, Tia S
author_sort Small, Rebecca N
collection PubMed
description Context We lack guidelines to inform the necessary components of an emergency medicine undergraduate rotation. Traditionally, clinical reasoning has been taught using linear thought processes likely not ideal for diagnostic and management decisions made in the emergency department.  Methods We used the Delphi method to obtain consensus on a set of competencies for undergraduate emergency medicine that illustrate the non-linear concepts we believe are necessary for learners. Competencies were informed by a naturalistic observational study of emergency physicians. A survey outlining these competencies was subsequently circulated to emergency physicians who rated their relative importance. Results Eleven competencies were included in Round 1, all rated within the “for consideration” for inclusion range. This was reduced to 10 competencies in Round 2, which was only marginally more definitive with respondents rating one competency in the “definite inclusion range” and the remaining in the “for consideration” range.  Conclusions This study was conducted to address a gap in the current undergraduate emergency medicine curriculum. Consensus on the relative importance of each competency was not achieved, though we believe that the competencies that arose from this study will help medical students develop the non-linear thinking processes necessary to succeed in emergency medicine. 
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spelling pubmed-74897932020-09-16 SPIRALS: An Approach to Non-Linear Thinking for Medical Students in the Emergency Department Small, Rebecca N Fleet, Lisa Whalen, Desmond Renouf, Tia S Cureus Emergency Medicine Context We lack guidelines to inform the necessary components of an emergency medicine undergraduate rotation. Traditionally, clinical reasoning has been taught using linear thought processes likely not ideal for diagnostic and management decisions made in the emergency department.  Methods We used the Delphi method to obtain consensus on a set of competencies for undergraduate emergency medicine that illustrate the non-linear concepts we believe are necessary for learners. Competencies were informed by a naturalistic observational study of emergency physicians. A survey outlining these competencies was subsequently circulated to emergency physicians who rated their relative importance. Results Eleven competencies were included in Round 1, all rated within the “for consideration” for inclusion range. This was reduced to 10 competencies in Round 2, which was only marginally more definitive with respondents rating one competency in the “definite inclusion range” and the remaining in the “for consideration” range.  Conclusions This study was conducted to address a gap in the current undergraduate emergency medicine curriculum. Consensus on the relative importance of each competency was not achieved, though we believe that the competencies that arose from this study will help medical students develop the non-linear thinking processes necessary to succeed in emergency medicine.  Cureus 2020-08-13 /pmc/articles/PMC7489793/ /pubmed/32944446 http://dx.doi.org/10.7759/cureus.9727 Text en Copyright © 2020, Small et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Small, Rebecca N
Fleet, Lisa
Whalen, Desmond
Renouf, Tia S
SPIRALS: An Approach to Non-Linear Thinking for Medical Students in the Emergency Department
title SPIRALS: An Approach to Non-Linear Thinking for Medical Students in the Emergency Department
title_full SPIRALS: An Approach to Non-Linear Thinking for Medical Students in the Emergency Department
title_fullStr SPIRALS: An Approach to Non-Linear Thinking for Medical Students in the Emergency Department
title_full_unstemmed SPIRALS: An Approach to Non-Linear Thinking for Medical Students in the Emergency Department
title_short SPIRALS: An Approach to Non-Linear Thinking for Medical Students in the Emergency Department
title_sort spirals: an approach to non-linear thinking for medical students in the emergency department
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489793/
https://www.ncbi.nlm.nih.gov/pubmed/32944446
http://dx.doi.org/10.7759/cureus.9727
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