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Student Physical Therapists’ Perceptions of Clinical Reasoning: A?Systematic Review of the Literature

机译：学生物理治疗师对临床推理的看法：a？系统审查文献

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IntroductionClinical reasoning (CR) is a core clinical skill that has been directly linked with patient outcomes. Therefore, developing sound clinical reasoning skills in students should be a concern for physical therapy (PT) professional education programs.PurposeTo develop an understanding of PT student perceptions of CR and how they best learn it to inform future educational practice and research needs.MethodA systematic review of the literature was conducted using the databases PubMed, CINAHL, ERIC, and Cochrane database of systematic reviews to develop an understanding of how students perceive CR throughout their professional education programs and how they best learn it.ResultsFifteen articles met inclusion criteria. Three major themes were identified from the systematic review. First, student perceptions of CR do change throughout their professional education programs. Second, students prefer educational experiences that allow them to act in a PT role, for instance case-method teaching. Lastly, that educational experiences designed to enhance CR capability enhances student professional formation and identity.DiscussionRecent calls for reform across all levels of physical therapy education has been made. In part, these reform efforts emphasize the need for PT education programs to provide learner-centered education through practice-based learning experiences and developing adaptive learners. The results of the systematic review support these aims. More research is needed regarding the impact of educational experiences on student CR skill development as well as more valid and reliable tools for assessing CR capability in PT students.
机译：介绍扫描推理（CR）是一种与患者结果直接相关的核心临床技能。因此，在学生中发展声音临床推理技巧应该是物理治疗（PT）职业教育计划的关注.Purposeto对CR的PT学生看法以及他们最能学习的理解，以告知未来的教育实践和研究需求。方法审查文献的审查是使用系统审查的数据库PubMed，Cinahl，Eric和Cochrane数据库进行了解，了解学生在整个职业教育方案中如何感知CR以及他们如何最佳地学习。符合纳入标准。从系统审查中确定了三个主要主题。首先，学生对CR的看法在整个职业教育方案中都会改变。其次，学生更喜欢教育经验，让他们在PT角色中行动，例如案例方法教学。最后，旨在提高CR能力的教育经验增强了学生的专业形成和身份。探讨了各级物理治疗教育的改革。部分地，这些改革努力强调，通过基于实践的学习经验和发展自适应学习者，需要对PT教育计划提供学习者为中心的教育。系统评价的结果支持这些目标。关于教育经验对学生CR技能发展的影响，需要更多的研究，以及评估PT学生CR能力的更有效和可靠的工具。

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