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Academic Professional: Enhancing Clinical Decision-Making Skills through Video Case-Based Learning

Academic Professional: Enhancing Clinical Decision-Making Skills through Video Case-Based Learning
Clinical decision-making is a critical skill for healthcare practitioners, including those in midwifery and speech-language pathology. A recent study titled "How does video case-based learning influence clinical decision-making by midwifery students? An exploratory study" offers valuable insights into how different learning modalities—video versus paper—impact clinical decision-making processes. This blog post explores how practitioners can leverage these findings to enhance their clinical decision-making skills.

### Understanding the StudyThe study involved 45 midwifery students divided into groups to engage in case-based learning (CBL) using either video or paper case modalities. The results revealed significant differences in how each group processed information and made clinical decisions.

### Key Findings1. **Video Case Learning:** - **Psychosocial Focus:** Students in the video groups paid more attention to psychosocial aspects, such as the emotional state of the patient and her family. - **Holistic Perspective:** These students discussed tailored care plans that considered the well-being of both the woman and her family. - **Reduced Biomedical Interventions:** They were less likely to recommend invasive procedures like vaginal examinations and electric fetal heart monitoring.2. **Paper Case Learning:** - **Biomedical Focus:** Students in the paper groups focused more on biomedical data, such as fetal heart rates and the mother's physical condition. - **Systematic Information Gathering:** These students found it easier to retain and systematically analyze information. - **Increased Biomedical Interventions:** They were more likely to recommend frequent monitoring and examinations.

### Implications for PractitionersThe study's findings can be directly applied to improve clinical decision-making skills in various healthcare settings, including speech-language pathology. Here are some actionable steps:1. **Incorporate Video Case-Based Learning:** - Use video cases to help students and practitioners develop a more holistic, patient-centered approach. - Encourage empathy and a deeper understanding of psychosocial factors affecting patient care.2. **Balance with Paper Cases:** - While video cases are excellent for fostering empathy and holistic care, paper cases can help in developing systematic, biomedical assessment skills. - Use a combination of both modalities to provide a balanced learning experience.3. **Structured Reflection:** - Implement structured reflection sessions where students discuss what they learned from both video and paper cases. - Encourage them to consider how different types of information (psychosocial vs. biomedical) influence their decision-making processes.4. **Tailored Care Plans:** - Teach students to develop care plans that are not only based on biomedical data but also consider the emotional and psychological needs of patients and their families.

### Encouraging Further ResearchWhile this study provides valuable insights, it also highlights the need for further research to explore the long-term effects of different learning modalities on clinical decision-making skills. Practitioners are encouraged to participate in or conduct studies that examine how these findings can be applied in different healthcare fields, including speech-language pathology.

To read the original research paper, please follow this link: How does video case-based learning influence clinical decision-making by midwifery students? An exploratory study.

Citation: Nunohara, K., Imafuku, R., Saiki, T., Bridges, S. M., Kawakami, C., Tsunekawa, K., Niwa, M., & Fujisaki, K. (2020). How does video case-based learning influence clinical decision-making by midwifery students? An exploratory study. BMC Medical Education, 20(67). https://doi.org/10.1186/s12909-020-1969-0

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