Deliberate reflection: Applying an evidence-based innovation to the teaching of diagnostic reasoning in medicine and law

CLI Fellowship of Silvia Mamede
The Erasmus Education Lab, an open space with wood elements. In the space you can see people walking around and talking.

The Community for Learning & Innovation (CLI) gives lecturers from Erasmus University Rotterdam (EUR) the opportunity to apply for a fellowship. With this fellowship, they research educational innovation, or carry out an educational project. On this page you can read more about the CLI Fellowship of Silvia Mamede (EMC) about supporting students in navigating their social, professional and academic identities.

Teaching students effective problem-solving is a challenging task, particularly in domains characterized by ill-defined, complex problems such as medicine and law. Deliberate reflection (DR) has consistently been shown to improve medical students’ diagnostic performance. In DR students practice with clinical cases individually by following stepwise instructions to compare alternative diagnoses. In this project, we aimed to examine how to best incorporate DR into existing curricula by investigating (1) effects of team-based relative to individual-based DR on medical students’ diagnostic performance and mental representations of disease knowledge; and (2) whether law students’ problem-solving performance also benefits from DR while practicing with cases. The project gave medical teachers and students the opportunity to experience the employment of DR in the clinical reasoning teaching. Despite operational difficulties that precluded completion of data collection, the opportunity to get acquainted with DR may have opened the door for its future use. Findings from law students point to the need to further examine whether and how DR can be used in other contexts outside medicine. 

Researcher
dr. Silvia Mamede
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