Studying Diagnostic Reasoning in Medical Education

BioWorld
BioWorld is a computer based learning environment that was first designed to promote scientific reasoning in high school students. It provides a realistic environment for students to learn about diseases through solving specific patient cases (Lajoie, Lavigne, Guerrera, & Munsie, 2001). Solving a patient case in BioWorld not only consist of submitting the right diagnostic but it also requires to select and organise evidence that support and justify decisions through the case resolution process. Pilot work with medical students, residents and staff physicians was conducted using BioWorld cases and conclusions recommended the use of this learning environment for medical education (Faremo, 2004).

CaseBuilder
One key aspect of adapting BioWorld to a medical audience is to revise and construct cases at an appropriate level. In our attempts to create and develop valid cases in medical education, we have experimented with different methodologies and scenarios to structure case creation. The companion authoring tool, CaseBuider (Lajoie et al., 2001) which was designed to allow both instructors and researchers to modify cases easily also enable to explore instructional activities for case creation. Case scenarios are built, selected and validated as part of a participative design approach with medical student and staff.

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© 2005 - 2008 Geneviève Gauthier
Current Project Research