The Journal of Japan Academy of Health Sciences
Online ISSN : 2433-3018
Print ISSN : 1880-0211
ISSN-L : 1880-0211
A Study on Legitimate Peripheral Participation and Coaching of Clinical Reasoning in Clinical Clerkship Fieldwork
Megumi ShiraishiKenta NomuraTamami Aida
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2023 Volume 25 Issue 4 Pages 246-255

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Abstract
We report the process of acquiring clinical skills of occupational therapy student(s OTS) using the clinical clerkship(CCS)method in the comprehensive clinical training of convalescent rehabilitation hospitals. OTS participate in occupational therapy for all patients in charge of clinical educator(s CE), including schedule management and simulated medical record writing, based on the four-step learning process of CCS, and gain experience in clinical skills. We also used life behavior improvement management to understand clinical reasoning. As a result, the CCS learning process of OTS reached the Fading level of some tests and IADL training. It is considered that the acquisition of clinical skills of OTS could be promoted by actively repeating tours, imitations, and implementations after receiving explanations of clinical reasoning from CE. In addition, the use of management tool for daily life performance is considered to be effective for learning clinical reasoning such as focusing problems and predicting prognosis.
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2023 Japan Academy of Health Sciences
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