QHPE 601 Experiential Learning Methods
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What is the primary purpose of scripts in clinical reasoning?

  • To eliminate the need for existing knowledge
  • To create algorithms for decision making
  • To automate decision making in clinical cases
  • To provide structured knowledge for understanding behavioral sequences (correct)
  • Which of the following best describes how scripts differ from algorithms?

  • Both scripts and algorithms are the same in function.
  • Scripts are used from the initiation of a process, while algorithms are not.
  • Scripts are rigid and do not allow for new information.
  • Scripts provide conceptual knowledge while algorithms provide step-by-step instructions. (correct)
  • What does the term 'automatic decision making' imply in the context of expertise?

  • Decisions made are always correct and efficient.
  • It refers to a lack of critical thinking and complacency. (correct)
  • This method encourages continual learning and adaptation.
  • It speedily resolves all clinical cases encountered.
  • Which of the following is NOT one of the five micro-skills outlined for the One-Minute Preceptor?

    <p>Develop a comprehensive treatment plan</p> Signup and view all the answers

    The SNAPPS teaching approach primarily emphasizes which aspect of clinical teaching?

    <p>Integrating history-taking with decision-making skills</p> Signup and view all the answers

    What is the function of the ‘slots’ in the example script template?

    <p>To ensure structured methods for organizing clinical reasoning</p> Signup and view all the answers

    When teaching clinical reasoning, which of the following is a concern with expertise?

    <p>Expertise can result in automatic decision-making and complacency.</p> Signup and view all the answers

    What is indicated by the term 'zone of proximal development' in the context of the One-Minute Preceptor?

    <p>The gap between what a student can do alone and what they can achieve with guidance</p> Signup and view all the answers

    In the script development process, what role do high-level conceptual knowledge structures play?

    <p>They help chunk information and guide memory retrieval in decision-making.</p> Signup and view all the answers

    What is the primary benefit of using the One-Minute Preceptor model in clinical teaching?

    <p>Preferred by students and preceptors over standard care</p> Signup and view all the answers

    Which teaching technique is NOT associated with the One-Minute Preceptor model?

    <p>Facilitating large group lectures</p> Signup and view all the answers

    How does the SNAPPS model enhance self-regulated learning?

    <p>By encouraging initial reading selections for self-study</p> Signup and view all the answers

    In comparison to usual teaching, what was the impact of the SNAPPS model on the number of differential diagnoses identified?

    <p>Increased to 2.08 from 0.81 items</p> Signup and view all the answers

    What does feedback in the context of clinical teaching aim to avoid?

    <p>Overwhelming students with excessive information</p> Signup and view all the answers

    What aspect of student learning was shown to be superior in the SNAPPS model compared to the One-Minute Preceptor?

    <p>Engagement in self-directed questioning</p> Signup and view all the answers

    What is a key characteristic of the studies included in the systematic review of SNAPPS?

    <p>They showed a significant increase in diagnostic reasoning</p> Signup and view all the answers

    What type of feedback should be provided for improvement actions during clinical teaching?

    <p>Timely and specific feedback</p> Signup and view all the answers

    What outcome did students demonstrate an increase in when utilizing the SNAPPS framework for teaching?

    <p>Justifications supporting differential diagnoses</p> Signup and view all the answers

    Which of the following statements about the One-Minute Preceptor is true?

    <p>It promotes the development of clinical reasoning in students.</p> Signup and view all the answers

    What type of problem-solving methods are crucial for non-routine tasks?

    <p>Knowledge-based problem-solving methods</p> Signup and view all the answers

    Which of the following best describes a characteristic of learner-centered experiential education?

    <p>It incorporates progressive difficulty within a community of practice.</p> Signup and view all the answers

    Expertise development is closely associated with which of the following processes?

    <p>Script formation and development.</p> Signup and view all the answers

    What cognitive strategy is vital for tackling well-structured problems?

    <p>Established problem-solving methods.</p> Signup and view all the answers

    When identifying non-recurrent skills, what aspect is essential for effective learning?

    <p>Strong methods of problem solving.</p> Signup and view all the answers

    What distinguishes ill-structured problems from well-structured problems in problem solving?

    <p>Ill-structured problems have no correct solutions, while well-structured problems do.</p> Signup and view all the answers

    Which model best emphasizes the importance of cognitive rules and schemas in problem solving?

    <p>System 1 Model</p> Signup and view all the answers

    How does expertise facilitate the interpretation of new problem-solving situations?

    <p>Experts automate tasks and generalize their understanding of problems.</p> Signup and view all the answers

    What role do causal models play in the learner's problem-solving approach?

    <p>They provide insights into how different elements influence each other.</p> Signup and view all the answers

    In terms of problem-solving phases, which strategy is primarily associated with knowledge-based methods?

    <p>Evaluating the validity of potential solutions.</p> Signup and view all the answers

    Which cognitive strategy is critical for learners to transition from novice to expert problem solvers?

    <p>Structured approaches to evaluating performance.</p> Signup and view all the answers

    What is a key characteristic of knowledge-based problem solving?

    <p>It emphasizes understanding relationships and complexity.</p> Signup and view all the answers

    Which characteristic is typical of well-structured problems?

    <p>All important components are identified</p> Signup and view all the answers

    What is the primary goal of experiential training in the development of expertise?

    <p>To provide hands-on experiences that promote psychomotor skills</p> Signup and view all the answers

    Which of the following best describes strong methods in problem solving?

    <p>Specific techniques tailored to familiar problems in a particular domain</p> Signup and view all the answers

    What type of problems require learners to incorporate multiple evaluation criteria?

    <p>Ill-structured problems</p> Signup and view all the answers

    What role does reflection play in maximizing learning from peers?

    <p>It enhances understanding through critical evaluation of experiences</p> Signup and view all the answers

    Which of these is NOT a conclusion aimed at maximizing participation?

    <p>Defining complex problems for learners</p> Signup and view all the answers

    In which scenario would weak methods be most effectively applied?

    <p>Navigating an unfamiliar problem across different domains</p> Signup and view all the answers

    How do interdisciplinary teams contribute to learning in a community of practice?

    <p>Through shared longitudinal experiences and diverse perspectives</p> Signup and view all the answers

    What distinguishes physiologically based solutions in problem solving?

    <p>Implementing specific conditions to address a scenario</p> Signup and view all the answers

    What is a defining feature of experiential learning in the context of health professional education?

    <p>Learners engage with others in roles relevant to their future career.</p> Signup and view all the answers

    Which aspect is emphasized in Billett's model of workplace-based learning?

    <p>The inseparability of participation and learning in the workplace.</p> Signup and view all the answers

    In Eraut’s model, how is informal learning at work characterized?

    <p>It involves learning that happens unconsciously during daily interactions.</p> Signup and view all the answers

    Which of the following best describes tacit knowledge in the context of workplace learning?

    <p>Understanding gained through observation and socialization, often without conscious realization.</p> Signup and view all the answers

    What is the primary theoretical underpinning of experiential education?

    <p>Constructivism, which involves learners actively constructing knowledge.</p> Signup and view all the answers

    What characteristic differentiates ill-structured problems from well-structured problems?

    <p>Ill-structured problems cannot be solved with known procedures.</p> Signup and view all the answers

    Which method is characterized as being used to solve familiar problems within a specific domain?

    <p>Strong methods</p> Signup and view all the answers

    What aspect is key to maximizing learning from peers in a community of practice?

    <p>Minimizing barriers to participation</p> Signup and view all the answers

    Which conclusion supports effective experiential learning?

    <p>Provide emotional support alongside meaningful tasks.</p> Signup and view all the answers

    In the context of problem solving, what is a key feature of knowledge-based methods?

    <p>They encompass both weak and strong methods for solutions.</p> Signup and view all the answers

    How do interdisciplinary and interprofessional teams enhance learning experiences?

    <p>By fostering collaboration through diverse insights.</p> Signup and view all the answers

    What is a critical component for moving from novice to expertise in care provision?

    <p>Experiential learning that includes real-life problem solving.</p> Signup and view all the answers

    What is a common characteristic of weak methods in problem solving?

    <p>They provide transferable skills applicable to various problems.</p> Signup and view all the answers

    What type of problems are best addressed with knowledge-based methods?

    <p>Ill-structured problems</p> Signup and view all the answers

    Which model supports problem-solving instruction during skill acquisition?

    <p>Dreyfus and Dreyfus model</p> Signup and view all the answers

    What is the primary function of System 2 in the problem-solving process?

    <p>To evaluate and monitor answers from System 1</p> Signup and view all the answers

    What is a characteristic feature of expertise in problem-solving?

    <p>Capacity to correct and monitor one's task performance</p> Signup and view all the answers

    Which type of models help learners understand how components interact in a domain?

    <p>Causal models</p> Signup and view all the answers

    In problem-solving, what is the goal of conceptual models?

    <p>To show how knowledge elements are interconnected</p> Signup and view all the answers

    Which of the following statements accurately reflects knowledge-based problem solving?

    <p>It often involves switching between various approaches.</p> Signup and view all the answers

    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.
    • 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.

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