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Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study

This study aims to compare the effectiveness of Hybrid and Pure problem-based learning (PBL) in teaching clinical reasoning skills to medical students. The study sample consisted of 99 medical students participating in a clerkship rotation at the Department of General Medicine, Chiba University Hosp...

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Autores principales: Ishizuka, Kosuke, Shikino, Kiyoshi, Tamura, Hiroki, Yokokawa, Daiki, Yanagita, Yasutaka, Uchida, Shun, Yamauchi, Yosuke, Hayashi, Yasushi, Kojima, Jumpei, Li, Yu, Sato, Eri, Yamashita, Shiho, Hanazawa, Nao, Tsukamoto, Tomoko, Noda, Kazutaka, Uehara, Takanori, Ikusaka, Masatomi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9870130/
https://www.ncbi.nlm.nih.gov/pubmed/36689416
http://dx.doi.org/10.1371/journal.pone.0279554
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author Ishizuka, Kosuke
Shikino, Kiyoshi
Tamura, Hiroki
Yokokawa, Daiki
Yanagita, Yasutaka
Uchida, Shun
Yamauchi, Yosuke
Hayashi, Yasushi
Kojima, Jumpei
Li, Yu
Sato, Eri
Yamashita, Shiho
Hanazawa, Nao
Tsukamoto, Tomoko
Noda, Kazutaka
Uehara, Takanori
Ikusaka, Masatomi
author_facet Ishizuka, Kosuke
Shikino, Kiyoshi
Tamura, Hiroki
Yokokawa, Daiki
Yanagita, Yasutaka
Uchida, Shun
Yamauchi, Yosuke
Hayashi, Yasushi
Kojima, Jumpei
Li, Yu
Sato, Eri
Yamashita, Shiho
Hanazawa, Nao
Tsukamoto, Tomoko
Noda, Kazutaka
Uehara, Takanori
Ikusaka, Masatomi
author_sort Ishizuka, Kosuke
collection PubMed
description This study aims to compare the effectiveness of Hybrid and Pure problem-based learning (PBL) in teaching clinical reasoning skills to medical students. The study sample consisted of 99 medical students participating in a clerkship rotation at the Department of General Medicine, Chiba University Hospital. They were randomly assigned to Hybrid PBL (intervention group, n = 52) or Pure PBL group (control group, n = 47). The quantitative outcomes were measured with the students’ perceived competence in PBL, satisfaction with sessions, and self-evaluation of competency in clinical reasoning. The qualitative component consisted of a content analysis on the benefits of learning clinical reasoning using Hybrid PBL. There was no significant difference between intervention and control groups in the five students’ perceived competence and satisfaction with sessions. In two-way repeated measure analysis of variance, self-evaluation of competency in clinical reasoning was significantly improved in the intervention group in "recalling appropriate differential diagnosis from patient’s chief complaint" (F(1,97) = 5.295, p = 0.024) and "practicing the appropriate clinical reasoning process" (F(1,97) = 4.016, p = 0.038). According to multiple comparisons, the scores of "recalling appropriate history, physical examination, and tests on clinical hypothesis generation" (F(1,97) = 6.796, p = 0.011), "verbalizing and reflecting appropriately on own mistakes," (F(1,97) = 4.352, p = 0.040) "selecting keywords from the whole aspect of the patient," (F(1,97) = 5.607, p = 0.020) and "examining the patient while visualizing his/her daily life" (F(1,97) = 7.120, p = 0.009) were significantly higher in the control group. In the content analysis, 13 advantage categories of Hybrid PBL were extracted. In the subcategories, "acquisition of knowledge" was the most frequent subcategory, followed by "leading the discussion," "smooth discussion," "getting feedback," "timely feedback," and "supporting the clinical reasoning process." Hybrid PBL can help acquire practical knowledge and deepen understanding of clinical reasoning, whereas Pure PBL can improve several important skills such as verbalizing and reflecting on one’s own errors and selecting appropriate keywords from the whole aspect of the patient.
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spelling pubmed-98701302023-01-24 Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study Ishizuka, Kosuke Shikino, Kiyoshi Tamura, Hiroki Yokokawa, Daiki Yanagita, Yasutaka Uchida, Shun Yamauchi, Yosuke Hayashi, Yasushi Kojima, Jumpei Li, Yu Sato, Eri Yamashita, Shiho Hanazawa, Nao Tsukamoto, Tomoko Noda, Kazutaka Uehara, Takanori Ikusaka, Masatomi PLoS One Research Article This study aims to compare the effectiveness of Hybrid and Pure problem-based learning (PBL) in teaching clinical reasoning skills to medical students. The study sample consisted of 99 medical students participating in a clerkship rotation at the Department of General Medicine, Chiba University Hospital. They were randomly assigned to Hybrid PBL (intervention group, n = 52) or Pure PBL group (control group, n = 47). The quantitative outcomes were measured with the students’ perceived competence in PBL, satisfaction with sessions, and self-evaluation of competency in clinical reasoning. The qualitative component consisted of a content analysis on the benefits of learning clinical reasoning using Hybrid PBL. There was no significant difference between intervention and control groups in the five students’ perceived competence and satisfaction with sessions. In two-way repeated measure analysis of variance, self-evaluation of competency in clinical reasoning was significantly improved in the intervention group in "recalling appropriate differential diagnosis from patient’s chief complaint" (F(1,97) = 5.295, p = 0.024) and "practicing the appropriate clinical reasoning process" (F(1,97) = 4.016, p = 0.038). According to multiple comparisons, the scores of "recalling appropriate history, physical examination, and tests on clinical hypothesis generation" (F(1,97) = 6.796, p = 0.011), "verbalizing and reflecting appropriately on own mistakes," (F(1,97) = 4.352, p = 0.040) "selecting keywords from the whole aspect of the patient," (F(1,97) = 5.607, p = 0.020) and "examining the patient while visualizing his/her daily life" (F(1,97) = 7.120, p = 0.009) were significantly higher in the control group. In the content analysis, 13 advantage categories of Hybrid PBL were extracted. In the subcategories, "acquisition of knowledge" was the most frequent subcategory, followed by "leading the discussion," "smooth discussion," "getting feedback," "timely feedback," and "supporting the clinical reasoning process." Hybrid PBL can help acquire practical knowledge and deepen understanding of clinical reasoning, whereas Pure PBL can improve several important skills such as verbalizing and reflecting on one’s own errors and selecting appropriate keywords from the whole aspect of the patient. Public Library of Science 2023-01-23 /pmc/articles/PMC9870130/ /pubmed/36689416 http://dx.doi.org/10.1371/journal.pone.0279554 Text en © 2023 Ishizuka et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ishizuka, Kosuke
Shikino, Kiyoshi
Tamura, Hiroki
Yokokawa, Daiki
Yanagita, Yasutaka
Uchida, Shun
Yamauchi, Yosuke
Hayashi, Yasushi
Kojima, Jumpei
Li, Yu
Sato, Eri
Yamashita, Shiho
Hanazawa, Nao
Tsukamoto, Tomoko
Noda, Kazutaka
Uehara, Takanori
Ikusaka, Masatomi
Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study
title Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study
title_full Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study
title_fullStr Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study
title_full_unstemmed Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study
title_short Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study
title_sort hybrid pbl and pure pbl: which one is more effective in developing clinical reasoning skills for general medicine clerkship?—a mixed-method study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9870130/
https://www.ncbi.nlm.nih.gov/pubmed/36689416
http://dx.doi.org/10.1371/journal.pone.0279554
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