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ABSTRACT: Since 2001 the University of Hawaii School of Medicine has conducted a 5-day workshop on clinical reasoning for Japanese medical students. To determine how Japanese medical students learn clinical reasoning at a US-based educational workshop.
This qualitative study used 20 semi-structured interviews with students, non-participant observation, and videotapes of 40 standardized-patient encounters.
Participants initially struggled with linguistic and cultural differences, then acquired an understanding of medical interviewing. Students understood clinical reasoning as a process of connecting with the patient using rapport building in order to gather information necessary to form a differential diagnosis and test hypotheses in conjunction with the physical examination. These findings supported a model of Interactive Reasoning.
Our findings suggest that foreign medical students can overcome linguistic and cultural barriers at a US-based workshop and acquire an understanding of medical interviewing and clinical reasoning.
Medical science monitor: international medical journal of experimental and clinical research 02/2010; 16(2):SR16-20. · 1.70 Impact Factor
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Gordon Greene
The Kaohsiung journal of medical sciences 04/2008; 24(3 Suppl):S3-5. · 0.61 Impact Factor
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Family medicine 04/2003; 35(3):167-9. · 1.33 Impact Factor
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Academic Medicine 04/2001; 76(5):436. · 3.52 Impact Factor
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ABSTRACT: Thesis (Ph. D.)--Georgia Institute of Technology, 1987. Directed by Benson H. Tongue (U.M. order no. 86-28,356). Includes bibliographical references (leaves 215-225). Vita.
