Teaching for clinical reasoning - helping students make the conceptual links.
BACKGROUND
Dental educators complain that students struggle to apply what they have learnt theoretically in the clinical context. This paper is premised on the assumption that there is a relationship between conceptual thinking and clinical reasoning.


OBJECTIVE
The paper provides a theoretical framework for understanding the relationship between conceptual learning and clinical reasoning.


METHODS
A review of current literature is used to explain the way in which conceptual understanding influences clinical reasoning and the transfer of theoretical understandings to the clinical context.


RESULTS
The paper argues that the connections made between concepts are what is significant about conceptual understanding. From this point of departure the paper describes teaching strategies that facilitate the kinds of learning opportunities that students need in order to develop conceptual understanding and to be able to transfer knowledge from theoretical to clinical contexts. Along with a variety of teaching strategies, the value of concept maps is discussed. The paper provides a framework for understanding the difficulties that students have in developing conceptual networks appropriate for later clinical reasoning.


CONCLUSIONS
In explaining how students learn for clinical application, the paper provides a theoretical framework that can inform how dental educators facilitate the conceptual learning, and later clinical reasoning, of their students.
McMillan
Wendy Jayne
WJ
Faculty of Dentistry, University of the Western Cape, Faculty of Dentistry, Private Bag XI, Tygerberg 7505, Cape Town, Western Cape 7505, South Africa. wmcmillan@uwc.ac.za
D002983:Clinical Competence; D004497:Education, Dental; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008962:Models, Theoretical; D013335:Students, Dental; D013663:Teaching / Q000379:methods*; D013850:Thinking