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Educación Médica Superior

Print version ISSN 0864-2141On-line version ISSN 1561-2902


GARI CALZADA, Mayra  and  VICEDO TOMEY, Agustín. An algorithm for developing clinical reasoning skills in new medical students. Educ Med Super [online]. 2020, vol.34, n.1, e1871.  Epub May 11, 2020. ISSN 0864-2141.

The early introduction of problem solving-based learning in undergraduate formation could contribute to develop clinical reasoning skills in health science students. Problem solving-based learning also provides an opportunity to foster interdisciplinary integration. The present study aims to review an algorithm created to develop clinical reasoning skills, through the imitation of decision-making procedures in the care process, while the presence of the contents of the basic biomedical sciences is evident. When the problem cases are analyzed and solved revealing the patient's situation progressively, the possibility is created for addressing the hypothetical-deductive method as an analytical strategy of cognition. The proposed algorithm helps the student develop consciously his/her analytical reasoning strategy in the search for the solution to the problem; the ten steps conceived facilitate the route to this discovery. During the research-search process, the learning needs that will be harmoniously incorporated into the general procedure emerge. This methodological proposal has been favorably received by the students, who argue that it has given them a better understanding of the cases and have managed to visualize the association between the contents and the manifestations, so that they begin to think about objects of knowledge rather than independent subjects. The decomposition of the whole into its parts allows for learning to have a meaning for the student and counteracts, to some extent, the slowness that sometimes occurs when the case starts.

Keywords : problem-based learning; clinical reasoning; advisorships; disciplinary integration; cognitive strategy; Walter Sisulu University.

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