A digital recipe for enhancing clinical reasoning: the role of e-learning by concordance (E-LbC): a quasi-experimental study

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Publicat a:BMC Medical Education vol. 25 (2025), p. 1-14
Autor principal: Aboueisha, Hadeel
Altres autors: Abouzeid, Enjy, Sallam, Moataz A, Talaat, Wagdy
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Springer Nature B.V.
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Accés en línia:Citation/Abstract
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-08005-w  |2 doi 
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045 2 |b d20250101  |b d20251231 
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100 1 |a Aboueisha, Hadeel 
245 1 |a A digital recipe for enhancing clinical reasoning: the role of e-learning by concordance (E-LbC): a quasi-experimental study 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundClinical reasoning (CR) is a critical competency in medical education, essential for effective decision-making in clinical practice. This study aimed to enhance CR skills among undergraduate medical students by comparing two instructional strategies: the E-learning by Concordance (e-LbC) approach and an interactive lecture-based method.MethodsA quasi-experimental comparative study was conducted at the Faculty of Medicine, Suez Canal University, Egypt, during the 2021–2022 academic year. The study involved 60 fifth-year medical students through comprehensive sampling and was implemented over one academic term. It consisted of three phases. In the first phase, an online Script Concordance Test (SCT) was used via the Wooclap platform to assess students’ baseline CR skills. The second phase included the educational intervention, in which the e-LbC method was used to teach the topic of painless vision loss, while the interactive lecture method was used for painful vision loss. In the final phase, a researcher-developed questionnaire assessed students’ perceptions regarding the impact of each instructional method on CR development, difficulty level, and satisfaction. The questionnaire’s validity was established by medical education experts, and reliability was confirmed using Cronbach’s alpha.ResultsStatistical analysis using paired t-tests revealed no significant difference in the pre-SCT scores between groups. However, post-SCT scores showed a statistically significant improvement in both groups, with the e-LbC, painless vision loss theme, demonstrating a greater effect size (Cohen’s d) and overall higher performance (p < 0.001). Additionally, 62% of students expressed satisfaction with the e-LbC method.Conclusionthe e-LbC approach positively influenced students’ clinical reasoning skills and engagement. Its integration with real-time assessment tools like Wooclap, combined with its cost-effectiveness, flexibility, and user-friendliness, positions it as a valuable tool for enhancing medical education in diverse learning environments. 
653 |a Ophthalmology 
653 |a Medical education 
653 |a Teaching methods 
653 |a Public speaking 
653 |a Medical students 
653 |a Cognition & reasoning 
653 |a Skills 
653 |a Validity 
653 |a Hypotheses 
653 |a Decision making 
653 |a Quasi-experimental methods 
653 |a Online instruction 
653 |a Pretesting 
653 |a Construct Validity 
653 |a Prior Learning 
653 |a Lecture Method 
653 |a Likert Scales 
653 |a Learning Experience 
653 |a Educational Technology 
653 |a Pretests Posttests 
653 |a Test Items 
653 |a Reference Materials 
653 |a Test Construction 
653 |a Feedback (Response) 
653 |a Thinking Skills 
653 |a Electronic Learning 
653 |a Student Participation 
653 |a Educational Assessment 
653 |a Formative Evaluation 
653 |a Allied Health Occupations Education 
653 |a Learner Engagement 
653 |a Content Validity 
700 1 |a Abouzeid, Enjy 
700 1 |a Sallam, Moataz A 
700 1 |a Talaat, Wagdy 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1-14 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3257228073/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3257228073/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3257228073/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch