A Study on Legitimate Peripheral Participation and Coaching of Clinical Reasoning in Clinical Clerkship Fieldwork

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  • Shiraishi Megumi
    Department of Occupational Therapy, Faculty of Health Science, Kyorin University
  • Nomura Kenta
    Department of Occupational Therapy, Faculty of Health Science, Mejiro University Graduate School of Rehabilitaion, Mejiro University
  • Aida Tamami
    Department of Occupational Therapy, Faculty of Health Science, Mejiro University Graduate School of Rehabilitaion, Mejiro University

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Other Title
  • クリニカル・クラークシップ方式作業療法臨床実習における 正統的周辺参加の方法と臨床推論の模倣に関する一考察
  • クリニカル ・ クラークシップ ホウシキ サギョウ リョウホウ リンショウ ジッシュウ ニ オケル セイトウテキ シュウヘン サンカ ノ ホウホウ ト リンショウ スイロン ノ モホウ ニ カンスル イチ コウサツ

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Description

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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