"Should I prioritize medical problem solving or attentive listening?": the dilemmas and challenges that medical students experience when learning to conduct consultations

Objective: Communication skills can be trained alongside clinical reasoning, history taking or clinical examination skills. This is advocated as a solution to the low transfer of communication skills. Still, students have to integrate the knowledge/skills acquired during different curriculum parts in patient consultations at some point. How do medical students experience these integrated consultations within a simulated environment and in real practice when dealing with responsibility?

Methods: Six focus groups were conducted with (pre-)/clerkship students.

Results: Students were motivated to practice integrated consultations with simulated patients and felt like 'real physicians'. However, their focus on medical problem solving drew attention away from improving their communication skills. Responsibility for real patients triggered students' identity development. This identity formation guided the development of an own consultation style, a process that was hampered by conflicting demands of role models.

Conclusion: Practicing complete consultations results in the dilemma of prioritizing medical problem solving above attention for patient communication. Integrated consultation training advances this dilemma to the pre-clerkship period. During clerkships this dilemma is heightened because real patients trigger empathy and responsibility, which invites students to define their role as doctor.

Practice Implications: When training integrated consultations, educators should pay attention to students' learning priorities and support the development of students' professional identity.

The effect of preferential paw usage on dogs' (Canis familiaris) performance in a manipulative problem-solving task

In a number of species, individuals showing lateralized hand/paw usage (i.e. the preferential use of either the right or left paw) compared to ambilateral individuals have been shown to be more proactive in novel situations. In the current study we used an established test to assess preferential paw usage in dogs (the Kong test) and then compared the performance of ambilateral and lateralized dogs as well as left- vs. right-pawed dogs in a novel manipulative problem solving task. Results showed an equal proportion of ambilateral and lateralized dogs but contrary to predictions non-lateralized dogs were faster at accessing the apparatus in test trials. No differences emerged between right- and left-pawed dogs. Results are discussed in relation to previous studies on lateralization. © 2013 Elsevier B.V.

Methods to improve creativity and innovation: the effectiveness of creative problem solving

This chapter focuses on the development of organizational creativity, using the CPS methodology, aiming at demonstrating its effectiveness in using the individual and team divergent thinking improvement in identifying organizational problems. A study was undertaken using problem solving teams in seven companies, in which each individual was submitted to a pre-post test in attitudes towards divergent thinking and asked to express the evaluation of the method. All the information reported in the sessions was recorded. The results indicate a change in attitude favourable to divergent thinking, the provision of a professional, efficient method of organizing knowledge in such a way that can help individuals to find original solutions to problems, and an important way to lead teams to creativity and innovation, according with companies different orientations.

An examination of grade three mathematics textbooks for problem solving strategies

Three grade three mathematics textbooks were selected arbitrarily (every other) from a total of six currently used in the schools of Ontario. These textbooks were examined through content analysis in order to determine the extent (i. e., the frequency of occurrence) to which problem solving strategies appear in the problems and exercises of grade three mathematics textbooks, and how well they carry through the Ministry's educational goals set out in The Formative Years. Based on Polya's heuristic model, a checklist was developed by the researcher. The checklist had two main categories, textbook problems and process problems and a finer classification according to the difficulty level of a textbook problem; also six commonly used problem solving strategies for the analysis of a process problem. Topics to be analyzed were selected from the subject guideline The Formative Years, and the same topics were selected from each textbook. Frequencies of analyzed problems and exercises were compiled and tabulated textbook by textbook and topic by topic. In making comparisons, simple frequency count and percentage were used in the absence of any known criteria available for judging highor low frequency. Each textbook was coded by three coders trained to use the checklist. The results of analysis showed that while there were large numbers of exercises in each textbook, not very many were framed as problems according to Polya' s model and that process problems form a small fraction of the number of analyzed problems and exercises. There was no pattern observed as to the systematic placement of problems in the textbooks.

Anxiety and learning / response behaviour in the context of intellectual problem solving by young children

Twenty-eight grade four students were ca.tegorized as either high or low anxious subjects as per Gillis' Child Anxiety Scale (a self-report general measure). In determining impulsivity in their response tendencies, via Kagan's Ma.tching Familiar Figures Test, a significant difference between the two groups was not found to exist. Training procedures (verbal labelling plus rehearsal strategies) were introduced in modification of their learning behaviour on a visual sequential memory task. Significantly more reflective memory recall behaviour was noted by both groups as a result. Furthermore, transfer of the reflective quality of this learning strategy produced significantly less impulsive response behaviour for high and low anxious subjects with respect to response latency and for low anxious subjects with respect to response accuracy.

The effects of teaching a mathematics problem solving strategy on the problem solving ability of grade nine students

Forty grade 9 students were selected from a small rural board in southern Ontario. The students were in two classes and were treated as two groups. The treatment group received instruction in the Logical Numerical Problem Solving Strategy every day for 37 minutes over a 6 week period. The control group received instruction in problem solving without this strategy over the same time period. Then the control group received the treat~ent and the treatment group received the instruction without the strategy. Quite a large variance was found in the problem solving ability of students in grade 9. It was also found that the growth of the problem solving ability achievement of students could be measured using growth strands based upon the results of the pilot study. The analysis of the results of the study using t-tests and a MANOVA demonstrated that the teaching of the strategy did not significaritly (at p s 0.05) increase the problem solving achievement of the students. However, there was an encouraging trend seen in the data.

Modelling for Problem Solving in the Large

This a short presentation which introduces how models and modelling help us to solve large scale problems in the real world. It introduces the idea that dynamic behaviour is caused by interacting components in the system. Feedback in the system makes behaviour prediction difficult unless we use modelling to support understanding

Numeracy activities : plenary, practical and problem solving.

Es un recurso didáctico para desarrollar en los alumnos de la etapa 3 (key stage 3) del curriculo nacional inglés la comprensión de las matemáticas y las habilidades para el cálculo. Incluye actividades, que pueden fotocopiarse, y que están diseñadas para trabajar de forma individual o en grupo y para que sus respuestas, resultados y objetivos se puedan mejorar mediante la repetición y la práctica. Además, son actividades flexibles, es decir, el profesor puede ampliar o modificar su contenido según las circunstancias de los alumnos. También, es vital el uso del lenguaje, tanto oral como escrito, por los alumnos para ayudarles a comprender y dominar estos conceptos matemáticos.

100 ideas for teaching problem solving, reasoning and numeracy.

Ofrece muchas ideas para ayudar a desarrollar la resolución de problemas,el razonamiento y las habilidades numéricas en los niños de hasta más de cinco años de edad. Incluye los recursos utilizados,el tamaño del grupo y las instrucciones para cada actividad.

Mathematics across the curriculum : problem-solving, reasoning and numeracy in primary schools.

Está escrito para facilitar la enseñanza y el aprendizaje en los primeros años de la escuela y en la etapa de primaria. Las matemáticas son una asignatura troncal y su uso y aplicación en actividades de resolución de problemas es fundamental para que los niños utilicen sus conocimientos y habilidades en una amplia variedad de situaciones. Muestra, además, cómo enseñar conceptos matemáticos a través de otras materias: historia, geografía, artes, ciencia y tecnología, salud y bienestar,y desarrollo físico. También, se tratan temas de planificación y evaluación, organización y práctica en la clase y el empleo de otros recursos.

Excel at problem solving.

Recurso dirigido principalmente a profesores de alumnos entre once y dieciséis años. Cada problema se acompaña de una guía que incluye información sobre conocimientos previos, esquema de la clase y notas de soluciones. Está escrito con tres ideas principales: la resolución de problemas; el uso d e hojas de cálculo para ayudar en el planteamiento o la solución de problemas, adquisición de destrezas de aprendizaje de hoja de cálculo que pueden convertir la solución de problemas en una labor menos complicada. Trata de alentar a los alumnos a ser matemáticos en el sentido de participar en actividades de resolución de problemas; pensar y comunicar sus ideas, crear e identificar los problemas matemáticos en determinados contextos. Las veintitrés actividades se pueden trabajar con toda la clase, con los alumnos, o con grupos. En el CD-ROM se incluyen recursos complementarios.

Problem Solving Teaching Guide : its Way of Use, and the Effect on Students. 'Guía docente de resolución de problemas : su modo de uso, y el efecto en los estudiantes'.

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Factors involved in making post-performance judgments in mathematics problem-solving

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