A comprehensive approach to identify challenges for clinical reasoning development in undergraduate dental students and their potential solutions

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dc.contributor.authorIsbej, Lorena
dc.contributor.authorFuentes-Cimma, Javiera
dc.contributor.authorVeliz Paiva, Claudia
dc.contributor.authorValladares-Perez, Salvador
dc.contributor.authorRiquelme, Arnoldo
dc.date.accessioned2024-01-10T13:45:24Z
dc.date.available2024-01-10T13:45:24Z
dc.date.issued2022
dc.description.abstractIntroductionClinical reasoning is a core competence in health professions that impacts the ability to solve patients' health problems. Due to its relevance, it is necessary to identify difficulties arising from different sources that affect clinical reasoning development in students. The aim of this study was to explore a comprehensive approach to identify challenges for clinical reasoning development in undergraduate dental students and their potential solutions. MethodsMixed methods were used in four stages: (1) students and clinical teachers focus groups to identify challenges to clinical reasoning development; (2) literature review to explore potential solutions for these challenges; (3) Delphi technique for teacher consensus on pertinence and feasibility of solutions (1-5 scale); and (4) teachers' self-perception of their ability to implement the solutions. ResultsThree categories and seven subcategories of challenges were identified: (I) educational context factors influencing the clinical reasoning process; (II) teacher's role in clinical reasoning development; and (III) student factors influencing the clinical reasoning process. From 134 publications identified, 53 were selected for review, resulting in 10 potential solutions. Through two Delphi rounds, teachers rated the potential solutions very highly in terms of relevance (4.50-4.85) and feasibility (3.50-4.29). Finally, a prioritisation ranking of these solutions was generated using their scores for relevance, feasibility, and teachers' self-perception of their ability to implement them. ConclusionsThe present comprehensive approach identified challenges for clinical reasoning development in dental students and their potential solutions, perceived as relevant and feasible by teachers, requiring further research and follow-up actions to address them.
dc.fechaingreso.objetodigital2024-05-02
dc.fuente.origenWOS
dc.identifier.doi10.1111/eje.12876
dc.identifier.eissn1600-0579
dc.identifier.issn1396-5883
dc.identifier.urihttps://doi.org/10.1111/eje.12876
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79027
dc.identifier.wosidWOS:000897159000001
dc.information.autorucFacultad de Medicina; Isbej Esposito, Lorena Pilar; S/I; 1009697
dc.language.isoen
dc.nota.accesocontenido completo
dc.publisherWILEY
dc.revistaEUROPEAN JOURNAL OF DENTAL EDUCATION
dc.rightsacceso abierto
dc.subjectclinical decision-making
dc.subjectclinical reasoning
dc.subjecteducation
dc.subjectdental
dc.subjectmedical
dc.subjectundergraduate
dc.subject.ods04 Quality Education
dc.subject.odspa04 Educación y calidad
dc.titleA comprehensive approach to identify challenges for clinical reasoning development in undergraduate dental students and their potential solutions
dc.typeartículo
sipa.codpersvinculados1009697
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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