Bianca A D Thompson, Rose Gilmore, Jacqui Barfoot, Leanne Sakzewski
A systematic review of the efficacy of group social skills interventions on social functioning and social participation in children with acquired brain injury or cerebral palsy
Child: care, health and development
need educational resources supporting practice assessment complex processes clinical reasoning inpatient setting along continuum physician experience levels using participatory design created scenariobased simulation integrating diagnostic ambiguity contextual factors rising patient acuity increase complexity resources include openended written exercise thinkaloud reflection protocol elicit diagnostic management reasoning reflection reasoning descriptive statistics used analyze initial implementation evaluation results twenty physicians multiple training stages specialties interns residents attendings family physicians internists surgeons underwent simulated scenario participants engaged clinical reasoning processes consistent design considering total 19 differential diagnoses ten participants provided correct leading diagnosis tension pneumothorax additional eight providing pneumothorax participants offering relevant supporting evidence also good evidence management reasoning participants either performing intervention calling assistance reflecting management plans thinkaloud scenario reasonable approximation clinical practice mean authenticity rating 415 5 finally scenario presented adequate challenge interns residents rating slightly challenging means 783 717 respectively attendings mean 663 10 despite challenges scenario complexity evaluation results indicate resource supports observation analysis diagnostic management reasoning diverse specialties interns attendings