A Bloom's Taxonomy-integrated rotation model enhances clinical reasoning and practical skills in optometry interns during ophthalmology rotation: a randomized controlled trial

TL;DR

A new internship model using Bloom's Taxonomy improves clinical skills and satisfaction in optometry students compared to traditional training.

Contribution

Integrates Bloom's Taxonomy into a rotation model, showing improved clinical reasoning and practical skills in optometry interns.

Findings

The experimental group outperformed in case analysis, history taking, and practical skills.

Interns reported higher satisfaction in problem-solving and feedback quality.

The model offers a structured framework for medical internship training.

Abstract

Traditional clinical medical internship models often lack structured educational objectives and comprehensive assessments, limiting holistic competency development. This study evaluates the effectiveness of a novel internship education management model integrating Bloom's Taxonomy with a student-mentor rotation system to enhance cognitive, affective, and psychomotor skills. We conducted a randomized controlled trial with 54 optometry interns during their ophthalmology clinical rotation, assigning them to either an experimental group (n = 30) using the Bloom's Taxonomy-integrated rotation model or a control group (n = 24) receiving traditional training. Both groups completed 12-week rotations with identical duration and content. The Bloom's Taxonomy-integrated rotation model was organized into three progressive phases corresponding to ascending levels of Bloom's Taxonomy (knowledge acquisition → clinical application → synthesis). Outcomes were assessed through written examinations, practical skill test, and course experience questionnaires. The Bloom's Taxonomy-integrated rotation group showed superior performance in case analysis, history taking and practical skills. They also reported significantly higher satisfaction in problem-solving, motivation and feedback quality. In conclusion, the Bloom's Taxonomy-integrated rotation model demonstrated superior clinical reasoning, practical skills, and medical interns' satisfaction, among optometry interns compared to traditional training. The Bloom's Taxonomy-integrated rotation model represents an effective, structured framework for enhancing medical internship training, though warranting further validation in broader settings.

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