REVISTA ESPAÑOLA DE EDUCACIÓN MÉDICA, cilt.2, 2021 (Hakemli Dergi)
This study introduces ContExtended Questions (CEQ), which is a tool both
to teach and assess clinical reasoning particularly in the preclinical
years, and the web-based program to implement. CEQ consists of
text-based case-based multiple-choice questions that provide patient
data in a fixed and predetermined sequence. It enables the examinees to
develop and reshape their illness scripts by using feedback after every
question. Feedback operates to transform the examinee’s failure into a
“productive failure”. The preliminary results of the randomized
controlled experiment of teaching clinical reasoning to preclinical
students through CEQ is quite satisfactory. In the medical education
literature, this would be the first time that students, who have no or
very limited clinical experience, developed their illness scripts just
by taking formative multiple-choice tests. The approach would be named
“test-only learning”. The complete results of the experiment and then
more experiments in other contexts and domains are necessary to
establish a more powerful assessment tool and software. Furthermore, by
changing the content of the questions, it is possible to use CEQ in
every period of medical education and health professions education.