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Research ArticleEducation

Published Case Reports in Clinical Laboratory Education: A Function and Improvement Evaluation of an Innovative learning activity

Matthew L. Rubinstein, Adrienne H. Simonds, Paul F. Weber, Bridgette Atkinson and J. Scott Parrott
American Society for Clinical Laboratory Science April 2023, 36 (2) 32-40; DOI: https://doi.org/10.29074/ascls.2022003195
Matthew L. Rubinstein
Rutgers, The State University of New Jersey, NJ, USA
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Adrienne H. Simonds
Rutgers, The State University of New Jersey, NJ, USA
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Paul F. Weber
Rutgers Robert Wood Johnson Medical School and Department of Pharmacy Practice and Administration
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Bridgette Atkinson
Rutgers, The State University of New Jersey, NJ, USA
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J. Scott Parrott
Rutgers, The State University of New Jersey, NJ, USA
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Article Figures & Data

Figures

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  • Figure 1.
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    Figure 1.

    Theory of change model.

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    Figure 2.

    Activity implementation.

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    Figure 3.

    Responses to the preactivity Likert-type questions.

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    Figure 4.

    CARE theme application difficult ratings with overlay of risk ratios * = More Difficult; ** = Most Difficult.

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    Figure 5.

    Change in perception on the benefit of case report critical appraisal to laboratory practice.

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    Figure 6.

    Student perspectives on case report immersion benefit to understanding of professionalism, community of practice, and practice complexity.

Tables

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    Table 1.

    Themes of student responses to “understanding of capable professional” from the preactivity questionnaire


    Theme
    Frequency
    (% of Student Responses)
    Task competence77%
    Reflective practice competence50%
    Continual improvement41%
    Decision-making competence36%
    Collaboration18%
    Communication9%
    Adapt to change5%
    Generate new knowledge0%
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    Table 2.

    CARE application difficulty types and interpretive comments


    Critical Appraisal Theme
    Application Difficulty
    Interpretation
    Introduction
    Patient information
    Clinical findings
    EasyMost students found these critical appraisal themes easy to apply. The instructor does not need to modify explanatory approach.
    Diagnostic assessment
    Follow-up/outcomes
    ModerateMany students found these critical appraisal themes difficult to apply. The instructor should develop additional explanatory resources that students can refer to as needed.
    Abstract
    Patient perspectives
    Timeline
    Interventions
    Discussion
    DifficultMost students found these critical appraisal themes difficult to apply. The instructor should spend more time discussing these themes and their application during the primary lecture and during the critical appraisal walkthrough activity. Additionally, Figure 4’s “more” vs “most” categories of difficulty can inform how much time is spent discussing these critical appraisal themes.
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    Table 3.

    Content analysis of student responses to ways to improve the case report immersion activity

    Improvement OpportunityFrequency
    In-class comparison of each team’s findings23%
    In-class comparison of each team’s findings with that of the instructor23%
    More instructor examples15%
    More conceptual background instruction15%
    Instructor explanation of the assigned case report prior to activity15%
    Separate teams from each other (to reduce noise and distraction)8%
    Form smaller groups (activity involved groups of 5–6 students)8%
    Conduct both steps of the case report immersion activity on the same day (activity was split over 2 days)8%
    Provide the set of reflective questions in advance (questions were provided just prior to step 2 of the activity)8%
    Combine teams for step 2 of the activity (for more robust discussion)8%
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American Society for Clinical Laboratory Science: 36 (2)
American Society for Clinical Laboratory Science
Vol. 36, Issue 2
1 Apr 2023
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Published Case Reports in Clinical Laboratory Education: A Function and Improvement Evaluation of an Innovative learning activity
Matthew L. Rubinstein, Adrienne H. Simonds, Paul F. Weber, Bridgette Atkinson, J. Scott Parrott
American Society for Clinical Laboratory Science Apr 2023, 36 (2) 32-40; DOI: 10.29074/ascls.2022003195

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Published Case Reports in Clinical Laboratory Education: A Function and Improvement Evaluation of an Innovative learning activity
Matthew L. Rubinstein, Adrienne H. Simonds, Paul F. Weber, Bridgette Atkinson, J. Scott Parrott
American Society for Clinical Laboratory Science Apr 2023, 36 (2) 32-40; DOI: 10.29074/ascls.2022003195
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Keywords

  • CARE - Case Report Guidelines
  • MLS - medical laboratory science
  • RR - risk ratio

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