The making of expert clinicians: reflective practice.
Debriefing is a rigorous reflection process which helps trainees recognize and resolve clinical and behavioral dilemmas raised by a clinical case. This approach emphasizes eliciting trainees'assumptions about the situation and their reasons for performing as they did (mental models). It analyses their impact on actions, to understand if it is necessary to maintain them or construct new ones that may lead to better performance in the future. It blends evidence and theory from education research, the social and cognitive sciences, and experience drawn from conducting and teaching debriefing to clinicians worldwide, on how to improve professional effectiveness through "reflective practice".
Hospital virtual Valdecilla, Servicio de Anestesiología y Reanimación, Hospital Valdecilla, Santander, España. Electronic address: jmmaestre@hvvaldecilla.es.
J M
JM
Maestre
New York Simulation Center for the Health Sciences, Emergency Medicine, New York University School of Medicine, Nueva York, EE.UU.
D
D
Szyld
Hospital virtual Valdecilla, Servicio de Anestesiología y Reanimación, Hospital Valdecilla, Santander, España.
I
I
Del Moral
Instituto de Simulación Médica, Cuidados Críticos, Hospital Santa Clara, Bogotá, Colombia.
G
G
Ortiz
Center for Medical Simulation, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, EE.UU.
J W
JW
Rudolph
D002983:Clinical Competence; D003695:Delivery of Health Care / Q000592:standards*; D006282:Health Personnel / Q000592:standards*; D006801:Humans; D008962:Models, Theoretical; D013663:Teaching / Q000379:methods
Aprendizaje; Clinical expert; Debriefing; Education; Experto clínico; Formación; Learning; Práctica reflexiva; Reflective practice