Podcast
Questions and Answers
What is the primary purpose of scripts in clinical reasoning?
What is the primary purpose of scripts in clinical reasoning?
Which of the following best describes how scripts differ from algorithms?
Which of the following best describes how scripts differ from algorithms?
What does the term 'automatic decision making' imply in the context of expertise?
What does the term 'automatic decision making' imply in the context of expertise?
Which of the following is NOT one of the five micro-skills outlined for the One-Minute Preceptor?
Which of the following is NOT one of the five micro-skills outlined for the One-Minute Preceptor?
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The SNAPPS teaching approach primarily emphasizes which aspect of clinical teaching?
The SNAPPS teaching approach primarily emphasizes which aspect of clinical teaching?
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What is the function of the ‘slots’ in the example script template?
What is the function of the ‘slots’ in the example script template?
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When teaching clinical reasoning, which of the following is a concern with expertise?
When teaching clinical reasoning, which of the following is a concern with expertise?
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What is indicated by the term 'zone of proximal development' in the context of the One-Minute Preceptor?
What is indicated by the term 'zone of proximal development' in the context of the One-Minute Preceptor?
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In the script development process, what role do high-level conceptual knowledge structures play?
In the script development process, what role do high-level conceptual knowledge structures play?
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What is the primary benefit of using the One-Minute Preceptor model in clinical teaching?
What is the primary benefit of using the One-Minute Preceptor model in clinical teaching?
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Which teaching technique is NOT associated with the One-Minute Preceptor model?
Which teaching technique is NOT associated with the One-Minute Preceptor model?
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How does the SNAPPS model enhance self-regulated learning?
How does the SNAPPS model enhance self-regulated learning?
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In comparison to usual teaching, what was the impact of the SNAPPS model on the number of differential diagnoses identified?
In comparison to usual teaching, what was the impact of the SNAPPS model on the number of differential diagnoses identified?
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What does feedback in the context of clinical teaching aim to avoid?
What does feedback in the context of clinical teaching aim to avoid?
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What aspect of student learning was shown to be superior in the SNAPPS model compared to the One-Minute Preceptor?
What aspect of student learning was shown to be superior in the SNAPPS model compared to the One-Minute Preceptor?
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What is a key characteristic of the studies included in the systematic review of SNAPPS?
What is a key characteristic of the studies included in the systematic review of SNAPPS?
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What type of feedback should be provided for improvement actions during clinical teaching?
What type of feedback should be provided for improvement actions during clinical teaching?
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What outcome did students demonstrate an increase in when utilizing the SNAPPS framework for teaching?
What outcome did students demonstrate an increase in when utilizing the SNAPPS framework for teaching?
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Which of the following statements about the One-Minute Preceptor is true?
Which of the following statements about the One-Minute Preceptor is true?
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What type of problem-solving methods are crucial for non-routine tasks?
What type of problem-solving methods are crucial for non-routine tasks?
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Which of the following best describes a characteristic of learner-centered experiential education?
Which of the following best describes a characteristic of learner-centered experiential education?
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Expertise development is closely associated with which of the following processes?
Expertise development is closely associated with which of the following processes?
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What cognitive strategy is vital for tackling well-structured problems?
What cognitive strategy is vital for tackling well-structured problems?
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When identifying non-recurrent skills, what aspect is essential for effective learning?
When identifying non-recurrent skills, what aspect is essential for effective learning?
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What distinguishes ill-structured problems from well-structured problems in problem solving?
What distinguishes ill-structured problems from well-structured problems in problem solving?
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Which model best emphasizes the importance of cognitive rules and schemas in problem solving?
Which model best emphasizes the importance of cognitive rules and schemas in problem solving?
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How does expertise facilitate the interpretation of new problem-solving situations?
How does expertise facilitate the interpretation of new problem-solving situations?
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What role do causal models play in the learner's problem-solving approach?
What role do causal models play in the learner's problem-solving approach?
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In terms of problem-solving phases, which strategy is primarily associated with knowledge-based methods?
In terms of problem-solving phases, which strategy is primarily associated with knowledge-based methods?
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Which cognitive strategy is critical for learners to transition from novice to expert problem solvers?
Which cognitive strategy is critical for learners to transition from novice to expert problem solvers?
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What is a key characteristic of knowledge-based problem solving?
What is a key characteristic of knowledge-based problem solving?
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Which characteristic is typical of well-structured problems?
Which characteristic is typical of well-structured problems?
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What is the primary goal of experiential training in the development of expertise?
What is the primary goal of experiential training in the development of expertise?
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Which of the following best describes strong methods in problem solving?
Which of the following best describes strong methods in problem solving?
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What type of problems require learners to incorporate multiple evaluation criteria?
What type of problems require learners to incorporate multiple evaluation criteria?
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What role does reflection play in maximizing learning from peers?
What role does reflection play in maximizing learning from peers?
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Which of these is NOT a conclusion aimed at maximizing participation?
Which of these is NOT a conclusion aimed at maximizing participation?
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In which scenario would weak methods be most effectively applied?
In which scenario would weak methods be most effectively applied?
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How do interdisciplinary teams contribute to learning in a community of practice?
How do interdisciplinary teams contribute to learning in a community of practice?
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What distinguishes physiologically based solutions in problem solving?
What distinguishes physiologically based solutions in problem solving?
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What is a defining feature of experiential learning in the context of health professional education?
What is a defining feature of experiential learning in the context of health professional education?
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Which aspect is emphasized in Billett's model of workplace-based learning?
Which aspect is emphasized in Billett's model of workplace-based learning?
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In Eraut’s model, how is informal learning at work characterized?
In Eraut’s model, how is informal learning at work characterized?
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Which of the following best describes tacit knowledge in the context of workplace learning?
Which of the following best describes tacit knowledge in the context of workplace learning?
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What is the primary theoretical underpinning of experiential education?
What is the primary theoretical underpinning of experiential education?
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What characteristic differentiates ill-structured problems from well-structured problems?
What characteristic differentiates ill-structured problems from well-structured problems?
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Which method is characterized as being used to solve familiar problems within a specific domain?
Which method is characterized as being used to solve familiar problems within a specific domain?
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What aspect is key to maximizing learning from peers in a community of practice?
What aspect is key to maximizing learning from peers in a community of practice?
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Which conclusion supports effective experiential learning?
Which conclusion supports effective experiential learning?
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In the context of problem solving, what is a key feature of knowledge-based methods?
In the context of problem solving, what is a key feature of knowledge-based methods?
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How do interdisciplinary and interprofessional teams enhance learning experiences?
How do interdisciplinary and interprofessional teams enhance learning experiences?
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What is a critical component for moving from novice to expertise in care provision?
What is a critical component for moving from novice to expertise in care provision?
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What is a common characteristic of weak methods in problem solving?
What is a common characteristic of weak methods in problem solving?
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What type of problems are best addressed with knowledge-based methods?
What type of problems are best addressed with knowledge-based methods?
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Which model supports problem-solving instruction during skill acquisition?
Which model supports problem-solving instruction during skill acquisition?
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What is the primary function of System 2 in the problem-solving process?
What is the primary function of System 2 in the problem-solving process?
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What is a characteristic feature of expertise in problem-solving?
What is a characteristic feature of expertise in problem-solving?
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Which type of models help learners understand how components interact in a domain?
Which type of models help learners understand how components interact in a domain?
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In problem-solving, what is the goal of conceptual models?
In problem-solving, what is the goal of conceptual models?
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Which of the following statements accurately reflects knowledge-based problem solving?
Which of the following statements accurately reflects knowledge-based problem solving?
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Study Notes
Experiential Learning Teaching Methods
- Course: QHPE 601
- Focus: Evidence-based teaching and learning
- Faculty: Dr Ahsan Sethi, Dr Daniel Rainkie
Learning Objectives
- Students will be able to describe approaches to teaching in the workplace
- Students will be able to understand script formation (setting clinical reasoning)
- Students will be able to apply the one-minute preceptor method
- Students will be able to apply the SNAPPS method
Scripts
- Illness scripts and management scripts form frameworks for chunking information and problem-solving.
- Scripts are high-level, precompiled, and conceptual knowledge structures but not algorithms.
- Scripts are triggered by specific problems (e.g., diagnosis, presenting signs and symptoms).
- Scripts provide structured knowledge for understanding behavioral sequences.
- Scripts help individuals integrate new information with existing knowledge, guide memory retrieval, and enable predictions about future events.
- Scripts contain knowledge that explains actions and sequences.
Clinical Reasoning
- Diagnostic reasoning: Problem-solving using illness scripts, with little risk involvement.
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Management reasoning:
- Diagnostic management reasoning: Diagnostic decision-making using management scripts, pretest and posttest probability, likelihood ratios, and thresholds.
- Therapeutic management reasoning: Treatment decision-making using management scripts, pretest and posttest probability, likelihood ratios, and thresholds.
Example of Script Development
- Shows a progression of diagnoses and management scripts for pneumonia, community-acquired pneumonia, and pneumococcal pneumonia.
- Highlights the different clinical features and treatments for each condition.
- The diagram visually illustrates how scripts incorporate clinical findings into management decisions.
Example Script Template
- The table presents a template for scripts, showing various components, such as biological samples, imaging studies, procedures, specialists/consultants, medications, and ongoing monitoring.
- Each component is a 'slot' or section to be filled in with specific clinical details.
- The template categorizes components (laboratory studies, imaging, etc.).
- Provides examples for each category.
Example of Comparison of the Management Scripts
- Compares management approaches for acute kidney injury between junior and senior clinicians.
- Junior clinician uses nephrology consultation, CT abdomen, urinalysis, IV fluids, and basic metabolic panel.
- Senior clinician utilizes renal biopsy, dialysis, Foley catheter, IVF, intake and output, daily weight, and bladder scan.
- Approaches differ based on level of expertise, experience, and risk assessment.
Teaching to Develop S1 and S2
- Table outlines how cognitive principles, including system 1 and system 2 processing, guide learning.
- Real-life problem-solving relies on both systems.
- Well-designed practice should engage both routine and non-routine aspects for optimal learning.
- Routine practice should utilize repetitive exercises and immediate feedback, whereas non-routine aspects need a mix of models, systematic approaches, and delayed feedback.
- System 1 processing (e.g., scripts) develops slower than system 2 processing (e.g., analytical thinking).
Threats of Expertise and Mastery
- Automatic decision-making in clinical practice leads to complacency, making clinicians resistant to change.
One-Minute Preceptor
- A five micro-skills approach to preceptor-student encounters.
- Focus on a single learning point and encourage critical thinking.
- Probe for supporting evidence and ask "why" questions non-accusatorially.
- Reinforce what was done well.
- Give feedback on errors or omissions, but do so mindfully.
- Teach a general principle related to the case.
One-Minute Preceptor Evidence
- Studies indicate the effectiveness of the one-minute preceptor model across various clinical contexts and training levels.
- The OMP model increases differential diagnoses and justification, promotes self-regulated learning, and encourages in-depth discussions of patient management plans.
SNAPPS
- A six-step learner-centered approach.
- Includes the steps of summarizing history and findings, narrowing the differential, analyzing possibilities, probing the preceptor with questions, planning management, and selecting learning issues.
- The sequence of these steps encourages self-directed learning and active engagement with the case scenario.
SNAPPS Evidence
- Studies comparing SNAPPS to standard care suggest improvements in differential diagnoses and justification for diagnoses.
- Also suggest improved discussion of patient management plans and encourages patient-centered learning strategies for improving diagnostic reasoning.
SNAPPS vs One-Minute Preceptor
- A study comparing SNAPPS and the one-minute preceptor found SNAPPS superior in prompting more detailed clinical reasoning questions and discussions about diagnoses and management plans.
- Both methods appear equally efficient for case presentation time.
Summary
- Script formation promotes system 1 thinking: repetitive practice.
- Feedback and reflection (variability in case presentation) promote system 2 thinking.
- The one-minute preceptor and SNAPPS are effective frameworks for teaching in the workplace, fostering clinical reasoning skills.
- Evidence suggests that SNAPPS may be more effective in teaching clinical reasoning than just the one-minute preceptor.
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Description
This quiz covers evidence-based teaching and learning methods specifically designed for workplace settings. Students will explore various clinical reasoning techniques, including the one-minute preceptor and SNAPPS methods, while understanding the role of scripts in problem-solving and knowledge integration.