Mackenzie R S, Heins P J, Chaffee R B, Low S B
J Dent Educ. 1977 Sep;41(9):537-44.
Clinical judgment is a complex process that is difficult to develop. It is the essence of the health professional, yet most dental curricula do not emphasize the learning of the judgmental process. In this paper the judgmental process is analyzed into three components: input, mediation, and output. Following the analysis, suggestions for using these components are presented in four instructional phases: the introductory phase, the initial guidance phase, the application phase, and the feedback phase. While the illustrations used are drawn from periodontics, the principles are generalizable to the teaching of all clinical disciplines.
临床判断是一个复杂且难以培养的过程。它是医疗专业人员的核心能力,但大多数牙科课程并不强调对判断过程的学习。本文将判断过程分析为三个组成部分:输入、调解和输出。分析之后,在四个教学阶段提出了使用这些组成部分的建议:入门阶段、初步指导阶段、应用阶段和反馈阶段。虽然所举例子来自牙周病学,但这些原则可推广到所有临床学科的教学中。