“A safe, non-judgmental space where I can really challenge myself:” learner experiences in a virtual, case-based diagnostic reasoning conference for students

Case-based diagnostic reasoning conferences, like morning reports, allow undergraduate medical trainees to practice diagnostic reasoning alongside senior clinicians. However, trainees have reported discomfort doing so. Peer-assisted learning offers an alternative approach. We describe the design, im...

Full description

Saved in:
Bibliographic Details
Main Authors: John C. Penner, María J. Alemán, Andrea Anampa-Guzmán, Aaron L. Berkowitz, Saman Nematollahi
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Medical Education Online
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10872981.2024.2414559
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846149557327495168
author John C. Penner
María J. Alemán
Andrea Anampa-Guzmán
Aaron L. Berkowitz
Saman Nematollahi
author_facet John C. Penner
María J. Alemán
Andrea Anampa-Guzmán
Aaron L. Berkowitz
Saman Nematollahi
author_sort John C. Penner
collection DOAJ
description Case-based diagnostic reasoning conferences, like morning reports, allow undergraduate medical trainees to practice diagnostic reasoning alongside senior clinicians. However, trainees have reported discomfort doing so. Peer-assisted learning offers an alternative approach. We describe the design, implementation, and evaluation of a virtual, student-only diagnostic reasoning conference that leverages peer-assisted learning. Student virtual morning report’s (VMR) design was informed by social and cognitive congruence and experience-based learning. We evaluated participant experiences using a survey focused on participant perceptions of Student VMR’s value, their methods for participation, and their preferences for Student VMR compared with VMR with more senior clinicians. 110 participants (28.9%) completed the survey. 90 participants (81.2%) reported that Student VMR was educational. Compared to VMR, participants reported being more likely to participate in Student VMR by turning on their video (50.0%), presenting a case (43.6%), verbally participating (44.5%), or participating in the chat (70.0%). Strengths included a safe learning environment to practice DR and the opportunity to engage with an international learning community. When asked whether they preferred Student VMR or non-Student VMR, most respondents (64.5%, 71/110) identified that they did not have a preference between the two. A student-focused DR conference may offer a valuable complement to, but not a replacement of, apprenticeship-based DR case conferences.
format Article
id doaj-art-c190be248f8548638d8fb7f622e08526
institution Kabale University
issn 1087-2981
language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Medical Education Online
spelling doaj-art-c190be248f8548638d8fb7f622e085262024-11-29T14:20:59ZengTaylor & Francis GroupMedical Education Online1087-29812024-12-0129110.1080/10872981.2024.2414559“A safe, non-judgmental space where I can really challenge myself:” learner experiences in a virtual, case-based diagnostic reasoning conference for studentsJohn C. Penner0María J. Alemán1Andrea Anampa-Guzmán2Aaron L. Berkowitz3Saman Nematollahi4Department of Medicine, University of California San Francisco, San Francisco, CA, USASchool of Medicine, Universidad Francisco Marroquin, Guatemala City, GuatemalaSan Fernando Medical School Faculty of Medicine, Universidad Nacional Mayor de San Marcos, Lima, PeruDepartment of Neurology, University of California, San Francisco, San Francisco, CA, USADivision of Infectious Disease, College of Medicine, University of Arizona, Tucson, AZ, USACase-based diagnostic reasoning conferences, like morning reports, allow undergraduate medical trainees to practice diagnostic reasoning alongside senior clinicians. However, trainees have reported discomfort doing so. Peer-assisted learning offers an alternative approach. We describe the design, implementation, and evaluation of a virtual, student-only diagnostic reasoning conference that leverages peer-assisted learning. Student virtual morning report’s (VMR) design was informed by social and cognitive congruence and experience-based learning. We evaluated participant experiences using a survey focused on participant perceptions of Student VMR’s value, their methods for participation, and their preferences for Student VMR compared with VMR with more senior clinicians. 110 participants (28.9%) completed the survey. 90 participants (81.2%) reported that Student VMR was educational. Compared to VMR, participants reported being more likely to participate in Student VMR by turning on their video (50.0%), presenting a case (43.6%), verbally participating (44.5%), or participating in the chat (70.0%). Strengths included a safe learning environment to practice DR and the opportunity to engage with an international learning community. When asked whether they preferred Student VMR or non-Student VMR, most respondents (64.5%, 71/110) identified that they did not have a preference between the two. A student-focused DR conference may offer a valuable complement to, but not a replacement of, apprenticeship-based DR case conferences.https://www.tandfonline.com/doi/10.1080/10872981.2024.2414559Clinical reasoningcase conferencesmorning reportclinical reasoning instructionclinical teaching
spellingShingle John C. Penner
María J. Alemán
Andrea Anampa-Guzmán
Aaron L. Berkowitz
Saman Nematollahi
“A safe, non-judgmental space where I can really challenge myself:” learner experiences in a virtual, case-based diagnostic reasoning conference for students
Medical Education Online
Clinical reasoning
case conferences
morning report
clinical reasoning instruction
clinical teaching
title “A safe, non-judgmental space where I can really challenge myself:” learner experiences in a virtual, case-based diagnostic reasoning conference for students
title_full “A safe, non-judgmental space where I can really challenge myself:” learner experiences in a virtual, case-based diagnostic reasoning conference for students
title_fullStr “A safe, non-judgmental space where I can really challenge myself:” learner experiences in a virtual, case-based diagnostic reasoning conference for students
title_full_unstemmed “A safe, non-judgmental space where I can really challenge myself:” learner experiences in a virtual, case-based diagnostic reasoning conference for students
title_short “A safe, non-judgmental space where I can really challenge myself:” learner experiences in a virtual, case-based diagnostic reasoning conference for students
title_sort a safe non judgmental space where i can really challenge myself learner experiences in a virtual case based diagnostic reasoning conference for students
topic Clinical reasoning
case conferences
morning report
clinical reasoning instruction
clinical teaching
url https://www.tandfonline.com/doi/10.1080/10872981.2024.2414559
work_keys_str_mv AT johncpenner asafenonjudgmentalspacewhereicanreallychallengemyselflearnerexperiencesinavirtualcasebaseddiagnosticreasoningconferenceforstudents
AT mariajaleman asafenonjudgmentalspacewhereicanreallychallengemyselflearnerexperiencesinavirtualcasebaseddiagnosticreasoningconferenceforstudents
AT andreaanampaguzman asafenonjudgmentalspacewhereicanreallychallengemyselflearnerexperiencesinavirtualcasebaseddiagnosticreasoningconferenceforstudents
AT aaronlberkowitz asafenonjudgmentalspacewhereicanreallychallengemyselflearnerexperiencesinavirtualcasebaseddiagnosticreasoningconferenceforstudents
AT samannematollahi asafenonjudgmentalspacewhereicanreallychallengemyselflearnerexperiencesinavirtualcasebaseddiagnosticreasoningconferenceforstudents