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Table 3 Student feedback about test ordering and interpretation. IWB/CRL sessions vs. traditional learning sessions

From: Interactive whiteboard use in clinical reasoning sessions to teach diagnostic test ordering and interpretation to undergraduate medical students

 

IWB/CRL sessions

Vertically integrated curriculum

p

 

3rd year

n = 27

3rd year

n = 40

4th year

n = 56

5th year

n = 78

6th year

n = 32

 

1. Now when I complete a test ordering file, I understand the reason/indication for the test

3.37 ± 1.01

3.95 ± 0.83

3.68 ± 0.79

4.01 ± 0.81

4.50 ± 0.62*

< 0.001

2. Now when I complete a test ordering file, the most frequent reason/indication that I specify is (%):

• I never specify a reason or indication/I specify the resident/senior’s request

0.0

61.5

57.1

64.1

40.6

< 0.001

• To test (affirm or eliminate) a hypothesis

27.9

10.3

17.9

26.9

46.9

 

• To conform to recommendations

23.0

12.8

21.4

6.4

9.4

 

• As “a systematic approach”

8.2

5.1

0

2.6

0

 

• To assess the time course

29.5

5.1

3.6

0

3.1

 

• To adapt the treatment

11.5

5.1

0

0

0

 

3. Now when I complete a test ordering file, I specify one or more nonclinical signs to be looked for

2.81 ± 1.17

2.51 ± 1.10

2.63 ± 1.10

3.14 ± 1.18

3.61 ± 1.12*

< 0.001

4. Now when I complete a test ordering file, I integrate the risks and limitations into the decision

3.46 ± 1.07

NK

3.04 ± 0.85

3.50 ± 0.83#

3.72 ± 0.77#

0.002

5. Now I look for positive and negative nonclinical signs directly on the raw data and not on the report

3.54 ± 1.03**

2.77 ± 0.87

2.48 ± 0.85

2.70 ± 0.92

3.47 ± 0.88**

< 0.001

  1. Student feedback on test ordering and interpretation. IWB/CRL sessions vs. traditional learning sessions. Data are presented as mean ± SD on a Likert scale (1: never; 2: rarely; 3: regularly; 4: often; 5: systematically)
  2. Sixth-year vs. other groups *p<0.05
  3. Sixth-year and fifth-year vs. fourth-year #p<0.05
  4. Third-year IWB/CRL+CM group and sixth-year vs. other groups **p<0.05