Edward Krupat, PhD
Richard Schwartzstein, MD
2014-2015 Meetings: TBA
2014-2016 Members: TBA
The Academy Interest Group on Critical Thinking had a busy and successful year. The highlight of the year involved the group’s sponsorship of Medical Education Day on Oct. 25, 2011. Planned by Interest Group members David Roberts and Keith Baker, the theme for the day was “Teaching Critical Thinking Skills: From Theory to Practice.” Mark Quirk of the University of Massachusetts Medical School, our keynote speaker, gave a very well received presentation on why we should, and how we can, shift the medical education paradigm from knowledge to critical thinking; and workshops were offered on concept mapping, assessment of critical thinking, the utility of failure in learning, and utilizing critical thinking teaching techniques at the bedside, in small groups and in the lecture hall. Many of the interest group members served as workshop leaders and facilitated enthusiastic and insightful discussion.
Meetings of the Interest group subsequent to Medical Education Day focused on proposing ways of building upon the excitement and momentum generated by that program. Discussions and tentative plans focused on several strategies for teaching and enhancing critical thinking, both for experienced and relatively inexperienced faculty. Plans are being made to introduce tutorial faculty into new means of incorporating techniques to encourage critical thinking into all FOM courses, and to initiate peer observation sessions that focus on feedback on instructors’ skills in encouraging critical thinking in both large-group and small-group settings. Discussions of the Group also centered on how best to use simulation to encourage critical thinking, how to encourage students to appreciate the distinction between the mere operations of the physical exam vs. using the exam to engage in physical diagnosis, and how to make best use of and further encourage curiosity among students. Group members heard presentations from faculty both in and beyond the Interest Group about several instructional innovations, in various states of development and implementation, in which Course Directors have revised teaching methods, content, and exams with the goal of getting students to take an active and analytic role in their learning. The challenge for the group in the coming year will be to encourage closer scrutiny of our goals, thereby defining a role for our Group in curriculum reform. In particular, we hope to expand the critical thinking orientation across the curriculum so that students consistently receive the message that we want them to question, to think, and to discover, not simply to absorb information.
Article Norman G, Sherbino J, Dore K, Wood T, Young M, Gaissmaier W, Kreuger S, Monteiro S. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014 Feb; 89(2):277-84.
Journal Article Discussion:
Article 1: Why do doctors make mistakes? A study of the role of salient distracting clinical features. Mamede S, van Gog T, van den Berge K, van Saase JL, Schmidt HG.Acad Med. 2014 Jan;89(1):114-20.
Article 2 How can students' diagnostic competence benefit most from practice with clinical cases? The effects of structured reflection on future diagnosis of the same and novel diseases. Mamede S, van Gog T, Sampaio AM, de Faria RM, Maria JP, Schmidt HG. Acad Med. 2014 Jan;89(1):121-7.
Journal Article Discussion: Williams, R. G., and D. L. Klamen. "Examining the Diagnostic Justification Abilities of Fourth-Year Medical Students." Academic medicine: Journal of the Association of American Medical Colleges (2012). Discussion led by Dr. Charles Day.
Journal Article Discussion: Durning SJ, Artino A, Van der Vleuten CPM, Schuwirth LWT. Clarifying Assumptions to Enhance Our Understanding and Assessment of Clinical Reasoning. Academic Medicine. Academic Medicine, Vol. 88, No. 4 / April 2013
Custers, Eugène JFM. "Medical education and cognitive continuum theory: An alternative perspective on medical problem solving and clinical reasoning." Academic Medicine 88.8 (2013): 1074-108
Bowen, Judith L. (2006). Educational Strategies to Promote Clinical Diagnostic Reasoning. Medical Education. 355;21. 2217-25.
Mylopoulos, Maria. Regehr, Glenn. (2007). Cognitive metaphors of expertise and knowledge:prospects and limitations for medical education. Medical Education. 41;12. 1159-1165.
Learning and Scientific Reasoning - Science 2009
Learning and Scientific Reasoning - SOM
Rogal, Sonya M. Exploring Critical Thinking in Critical Care Nursing Education: A Pilot Study. 2008. Journal of Continuing Education in Nursing. 39; 1.
Nouh T, Boutros M, Gagnon R, Reid S, Leslie K, Pace D, Pitt D, Walker R, Schiller D, MacLean A, Hameed M, Fata P, Charlin B, Meterissian SH. The script concordance test as a measure of clinical reasoning: a national validation study. Am J Surg. 2012 Apr;203(4):530-4. doi: 10.1016/j.amjsurg.2011.11.006
PowerPoint Slides for Discussion led by Leo Ginns, MD
Interest Group Resources:
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