Clinical Reasoning year 2

Content

Clinical Reasoning year 2

Objectives and content  

Case-study based training

• To learn to recognize their own weaknesses as a clinician, and to constantly ask themselves the question- "why?"
• To recognize the uniqueness and individuality of each patient’s experience, and to realize that the “textbook patient,” does not exist.
• To identify the critical moments at which a physician in the patient’s story made a decisive medical decision, analyze and question these decisions.
• To be able to make health care decisions built on knowledge of evidence-based medicine.
• To critically analyze and give relevance to medical innovations and pertinent research developments.
• To learn to efficiently and effectively take a medical history and to differentiate between the more and less relevant information obtained.
• To be able to recognize indications for and interpret the results of additional diagnostic and laboratory testing.
• To develop demonstrable medical knowledge.

Additional diagnostics
Interpretation of laboratory results.  

Course format and weekly schedule
Case-study based training
The education stream Clinical Reasoning is a small-scale case study-based course. A single patient case is addressed by multiple study groups. Each semester the student autonomy, and the pace, complexity, and intensity of the sessions increases. Attendance and participation are compulsory.

During the final Clinical Reasoning assessment at the completion of year two patient cases which have not been explicitly discussed are considered examination material.

Additional diagnostics
Takes place during the work sessions.

All elements of the educational stream Clinical Reasoning are mandatory.

Place within the curriculum
The educational stream Clinical Reasoning continues throughout the entire curriculum, and is fundamentally intertwined with the other three educational streams (Clinical Practice, Knowledge, and Scientific Research)

Additional diagnostic methods are addressed in year 1 and 2.
 

Literature
The block system is based on the following sources.

• Textbooks utilized for the educational streams Knowledge, Scientific Knowlede, and Clinical Practice
• Summary reports found in ‘Studielandschap’
• Evidence based guidelines
• Medical journals

Please also refer to the general textbook list.

Assessment
Clinical Reasoning is tested, more information about the assessment can be found in the course manual.

Details pertaining to the conditions for participation in the final assessment are described in the guidebook Clinical Reasoning.

Contact person 
Portfolio: Dr. H.G.M Arets, mail: H.Arets@umcutrecht.nl
Medische Ethiek: H. van Delden, mail: J.J.M.vanDelden@umcutrecht.nl