One Minute Preceptor (OMP) Vs Traditional Teaching in Developing Clinical Reasoning during
Abstract
Background: Traditional bedside teaching remains the dominant instructional method in clinical rotations, yet it often lacks structured feedback and learner engagement. The One-Minute Preceptor (OMP) model is a concise, learner-centered approach that may enhance clinical reasoning in time-constrained settings like Gynecology and Obstetrics.Objective: To compare the effectiveness of the OMP model versus traditional bedside teaching in developing clinical reasoning skills among final-year MBBS students during their Gynecology and Obstetrics ward rotation. Methods: This prospective, quantitative, comparative analytical study was conducted at King Edward Medical University, Lahore. A total of 325 final-year MBBS students (coming in groups of 20 students for rotation) were divided into two groups (A and B) through convenient sampling. Group A received instruction using the OMP model, while Group B underwent traditional bedside teaching. Pretest and posttest assessments based on Key Feature Problems (KFPs) were administered to both groups. Data were analyzed using SPSS v24 to assess mean score improvements and statistical significance. Results: Both groups demonstrated improvement in posttest scores. Group A (OMP) showed a greater mean improvement (2.2 ± 1.48) compared to Group B (1.8 ± 1.55), though the difference was not statistically significant (p > 0.05). The correlation between pretest and posttest scores was weak in both groups. onclusion: While not statistically significant, the OMP model showed a trend toward improved clinical reasoning compared to traditional teaching. Its structured and feedback-oriented nature aligns well with competency-based medical education. Broader implementation and further research with larger samples are recommended to validate its effectiveness..
Keywords: One-Minute Preceptor; Clinical Reasoning; Bedside Teaching; Medical Education; Gynecology And Obstetrics; MBBS Students; Key Feature Problems
