Clinical reasoning of Indonesian medical students as measured by diagnostic thinking inventory.
Loading...
Date
2008-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
South East Asia Regional Association for Medical Education
Abstract
Introduction: Clinical reasoning skill is one of the most important skills for a good physician. A
number of instruments have been developed to measure this skill, including the Diagnostic
Thinking Inventory (DTI). Several studies have been carried out to measure its reliability and
validity; however, evidence of its construct validity is still limited. This study aims to explore
the construct validity of the DTI and to measure the clinical reasoning skills of Indonesian
medical students.
Method: The subjects were 1135 medical students and 60 general practitioners. They were
asked to complete the Indonesia version of DTI.
Results: Overall reliability of the DTI was .74 and .50 for the flexibility in thinking scale and .70
for the evidence of knowledge structure scale. A one way unrelated ANOVA showed that
there were significant differences in the DTI score (F = 7.097, p = .000), flexibility of thinking
subscale (F = 6.111, p = .000), and the evidence of knowledge structure subscale (F = 5.306,
p = .000) with the scores increasing over the period of medical training and practical
experiences. The biggest proportion of subjects in all groups reached the highest level
(scored between 171-246/level 5).
Conclusion: This study has shown the construct validity of DTI in a different linguistic context.
It also has shown the level of clinical reasoning skills of Indonesian medical students varied
with year of study.
Description
Keywords
Citation
Rahayu Gandes Retno, McAleer Sean. Clinical reasoning of Indonesian medical students as measured by diagnostic thinking inventory. South East Asia Regional Association for Medical Education. 2008 June; 2(1): 42-47.