Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/202527411024
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Teaching strategies for developing speech-language-hearing clinical reasoning: A scoping review

Estratégias de ensino para o desenvolvimento do raciocínio clínico em Fonoaudiologia: revisão de escopo

Teresa Raquel Morais Silva; Lorena Luiza Costa Rosa Nogueira; Aline Mansueto Mourão; Ana Cristina Côrtes Gama

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Abstract

Purpose: to map and describe the main teaching strategies related to clinical reasoning in undergraduate and postgraduate Speech-Language Pathology courses.

Methods: a scoping review based on the research question: "What are the main teaching strategies used to develop clinical reasoning in undergraduate and postgraduate speech-language-hearing programs?". The search was conducted in the MEDLINE, Cochrane Library, Scopus, Web of Science, and BVS databases. The selection of studies was carried out in three stages: reading of titles, abstracts, and full texts, applying the eligibility criteria. The extracted data included author, year, country, type of study, sample type, teaching strategy, and main results. These data were systematized and presented in a table.

Literature Review: eleven articles were selected from 1,032 mapped studies. The teaching strategies identified were virtual clinical cases, reflective learning journals, clinical supervision during curricular internships, conceptual maps, Gallery Walk-like active methodology, simulation, and gamification.

Conclusion: the most used teaching strategies for the development of clinical reasoning in speech-language pathology students were virtual clinical cases, followed by clinical supervision, during internships.

Keywords

Speech, Language and Hearing Sciences; Clinical Reasoning; Teaching; Clinical Decision-Making; Learning

Resumo

Objetivo: mapear e descrever as principais estratégias de ensino relacionadas ao raciocínio clínico nos cursos de graduação e pós-graduação em Fonoaudiologia.

Métodos: trata-se de uma revisão de escopo baseada na questão de pesquisa: "Quais são as principais estratégias de ensino utilizadas para desenvolver o raciocínio clínico em cursos de Fonoaudiologia?". A busca foi realizada nas bases de dados MEDLINE, Cochrane LibraryScopusWeb of Science e BVS. A seleção dos estudos foi realizada em três etapas: leitura dos títulos, resumos e textos completos, com a aplicação dos critérios de elegibilidade. Os dados extraídos foram: autor, ano, país, tipo de estudo, tipo de amostra, estratégia de ensino e, principais resultados. Esses dados foram sistematizados e apresentados em quadro.

Revisão da Literatura: foram selecionados 11 artigos, dos 1.032 estudos mapeados. As estratégias de ensino identificadas foram: casos clínicos virtuais, diários de aprendizagem reflexivos, supervisão clínica no estágio curricular, mapas conceituais, metodologia ativa tipo Gallery Walk, simulação e gamificação.

Conclusão: as estratégias de ensino mais utilizadas para o desenvolvimento do raciocínio clínico em estudantes de Fonoaudiologia foram os casos clínicos virtuais, seguidos da supervisão clínica do estágio curricular.

Palavras-chave

Fonoaudiologia; Raciocínio Clínico; Ensino; Tomada de Decisão Clínica; Aprendizagem

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Submetido em:
13/11/2024

Aceito em:
17/04/2025

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