Kajian Sistematik: Strategi Pembelajaran Klinik di Setting Rawat Jalan

https://doi.org/10.22146/jpki.25265

Ova Emilia(1*)

(1) Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Clinical education in outpatient settings acknowledged as a challange for clinical instructors, which they had to provide efficient and qualified service to the patients while also including educational components that significantly handful for clinical students. We recognized many learning strategies to encounter those challanges, but only few of them that had been evaluated. This systematic review were provided to compare various clinical learning strategies which are useful in outpatient setting.

Method: Literature searching has done according PubMed database that related in topics such the impact of clinical education in outpatient setting on learning, outcome, and also efficiency of the outpatient clinics. There were no boundary setting that cone in this systematic review.

Results: There were two learning strategy: “One Minute Perceptor” (OMP) and SNAPPS has been showed to be effective in increasing educational-learning process and service outcome. Another two strategies such as “Aunt Minnie” pattern recognition and “Active Demonstration” were also promising but hadn’t been sufficiently studied. There weren’t any of those strategies showed their impact in outpatient clinic setting efficiency.

Conclusion: OMP and SNAPPS may be used for clinical mentoring in outpatient settings to increase learning process and learning outcome, while pattern recognition and activated demonstration hadn’t show any promising evidence.


Keywords


One-minute perceptor, SNAPPS, clinical education, outpatient clinics setting

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References

  1. DaRosa DA, Skeff K, Friedland JA, et al. Barriers to effective teaching. Acad Med. 2011;86(4):453-459.PubMed PMID: 21346500.
  2. Levy BT, Gjerde CL, Albrecht LA. The effects of precepting on and the support desired by community-based preceptors in Iowa. Acad Med. 1997;72(5):382-384.PubMed PMID: 9159585.
  3. Simon SR, Davis D, Peters AS, Skeff KM, Fletcher RH. How do precepting physi- cians select patients for teaching medical students in the ambulatory primary care setting? J Gen Intern Med. 2003;18(9):730-735. PubMed PMID: 12950482.
  4. Neher JO, Stevens NG. The one-minute preceptor: shaping the teaching conver- sation. Fam Med. 2003;35(6):391-393. PubMed PMID: 12817861.
  5. Aagaard E, Teherani A, Irby DM. Effectiveness of the one-minute preceptor model for diagnosing the patient and the learner: proof of concept. Acad Med. 2004;79(1):42-49. PubMed PMID: 14690996
  6. Irby DM, Aagaard E, Teherani A. Teaching points identified by preceptors ob- serving one-minute preceptor and traditional preceptor encounters. Acad Med.2004;79(1):50-55. PubMed PMID: 14690997.
  7. Teherani A, O’Sullivan P, Aagaard EM, Morrison EH, Irby DM. Student percep- tions of the one minute preceptor and traditional preceptor models. Med Teach. 2007;29(4):323-327.
  8. Furney SL, Orsini AN, Orsetti KE, Stern DT, Gruppen LD, Irby DM. Teaching the one-minute preceptor. a randomized controlled trial. J Gen Intern Med.2001;16(9):620-624. PubMed PMID: 11556943.
  9. Salerno SM, O’Malley PG, Pangaro LN, Wheeler GA, Moores LK, Jackson JL. Faculty development seminars based on the one-minute preceptor improve feed- back in the ambulatory setting. J Gen Intern Med. 2002;17(10):779-787. PubMed PMID: 12390554.
  10. Wolpaw T, Papp KK, Bordage G. Using SNAPPS to facilitate the expression of clinical reasoning and uncertainties: a randomized comparison group trial. Acad Med. 2009;84(4):517-524. PubMed PMID: 19318792.
  11. Wolpaw TM, Wolpaw DR, Papp KK. SNAPPS: a learner-centered model for out- patient education. Acad Med. 2003;78(9):893-898. PubMed PMID: 14507619
  12. Cunningham AS, Blatt SD, Fuller PG, Weinberger HL. The art of precepting:Socrates or Aunt Minnie? Arch Pediatr Adolesc Med. 1999;153(2):114-116. PubMed PMID: 9988240.
  13. Irby DM, Wilkerson L. Teaching when time is limited. BMJ. 2008;336(7640):384-387. Review. PubMed PMID: 18276715.
  14. Dunn MM, Woolliscroft JO. Assessment of a pattern-recognition examination in a clinical clerkship. Acad Med. 1994;69(8):683-684. PubMed PMID: 8054119.
  15. Eva KW, Hatala RM, Leblanc VR, Brooks LR. Teaching from the clinical reason- ing literature: combined reasoning strategies help novice diagnosticians overcome misleading information. Med Educ. 2007;41(12):1152-1158.
  16. Wilkerson L, Sarkin RT. Arrows in the quiver: evaluation of a workshop on ambulatory teaching. Acad Med. 1998;73(10 Suppl):S67-S69. PubMed PMID: 9795655.



DOI: https://doi.org/10.22146/jpki.25265

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