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法医学临床推理学习:一项范围综述

Learning Clinical Reasoning in Forensic Medicine: A Scoping Review.

作者信息

Abouzahir Hind, Belhouss Ahmed, Benyaich Hicham

机构信息

Medicolegal Institute, Ibn Rochd University Hospital,, Casablanca, Morocco.

University Hassan II, Faculty of Medicine and Pharmacy, Casablanca, Morocco.

出版信息

Med Sci Educ. 2024 Mar 1;34(3):695-703. doi: 10.1007/s40670-024-02013-z. eCollection 2024 Jun.

Abstract

BACKGROUND

This scoping review aimed to explore the existing literature on teaching clinical reasoning in the field of forensic medicine.

METHODS

The scoping review was conducted following the PRISMA extension for scoping reviews.

RESULTS

The initial search yielded a total of 98 articles, of which 40 studies met the inclusion criteria. Case-based learning enhances critical thinking, particularly in forensic domains like chemistry and medicine. Simulation-based learning, using tools such as virtual reality, improves practical skills, crucial in crime scene investigation. Problem-based learning fosters critical thinking and teamwork, proving successful in crime scene investigation and forensic speech science. Addressing persistent challenges like cognitive biases, the study recommends incorporating debiasing strategies and clinical reasoning theories into forensic science training programs.

CONCLUSION

The heterogeneity of assessment methods and educational outcomes limits the ability to draw definitive conclusions regarding the effectiveness of specific teaching strategies. Integrating a combination of the three methods can create a comprehensive and effective curriculum, catering to diverse learning preferences in forensic science education.

摘要

背景

本范围综述旨在探索法医学领域中关于临床推理教学的现有文献。

方法

本范围综述遵循PRISMA扩展版的范围综述方法进行。

结果

初步检索共获得98篇文章,其中40项研究符合纳入标准。基于案例的学习可增强批判性思维,尤其是在化学和医学等法医学领域。使用虚拟现实等工具的基于模拟的学习可提高实践技能,这在犯罪现场调查中至关重要。基于问题的学习可培养批判性思维和团队合作精神,在犯罪现场调查和法医言语科学中已证明是成功的。针对认知偏差等持续存在的挑战,该研究建议将去偏策略和临床推理理论纳入法医学培训项目。

结论

评估方法和教育成果的异质性限制了就特定教学策略的有效性得出明确结论的能力。整合这三种方法可以创建一个全面有效的课程,以满足法医学教育中多样化的学习偏好。

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Challenges to reasoning in forensic science decisions.法医学决策中的推理挑战。
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Problems in Postmortem Pathology Training.死后病理培训问题。
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