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Assessment of Clinical Reasoning

  • 1.  Assessment of Clinical Reasoning

    Posted 01-17-2021 05:22
    Hi all,

    I'm looking into ways of assessing clinical reasoning in a medical program, specifically in the late preclinical and early clinical years. I would be interested from hear from anyone who has implemented the assessment of reasoning tool (or another tool) into a medical program.

    Kind regards,


    Josh Inglis
    Royal Adelaide Hospital

  • 2.  RE: Assessment of Clinical Reasoning

    Posted 01-17-2021 13:50
    Could you somehow link the reasoning to what has been taught or not taught in med school or residency? Perhaps by interview?

  • 3.  RE: Assessment of Clinical Reasoning

    Posted 01-17-2021 14:53
    Probably worthwhile taking a look at the work of the Pittsburgh group:.Bonifacino E, Follansbee WP, Farkas AH, Jeong K, McNeil MA, DiNardo DJ. Implementation of a clinical reasoning curriculum for clerkship-level medical students: a pseudo-randomized and controlled study. Diagnosis 2019; 6(2): 165–172 

  • 4.  RE: Assessment of Clinical Reasoning

    Posted 01-17-2021 15:21
    I'd also recommend the IDEA tool as a  potential starting point if you're looking for some psychometrics:

    Baker, Elizabeth A., Cynthia H. Ledford, Louis Fogg, David P. Way, and Yoon Soo Park. "The IDEA assessment tool: assessing the reporting, diagnostic reasoning, and decision-making skills demonstrated in medical students' hospital admission notes." Teaching and learning in medicine 27, no. 2 (2015): 163-173.



  • 5.  RE: Assessment of Clinical Reasoning

    Posted 01-17-2021 16:05
    Hi Josh

    we're developing a gamified computer-based tool to assess diagnostic reasoning

    see this video: https://vimeo.com/470182361

    we're still in the pilot phase

    happy to chat more if interested


    Raja-Elie Abdulnour
    New England Journal of Medicine Group

  • 6.  RE: Assessment of Clinical Reasoning

    Posted 01-19-2021 13:00
    Thanks for being interested in the Assessment of Reasoning Tool!  This tool has been validated and applied in multiple settings and is quite user-friendly.  The most important aspect of the tool is that it frames a discussion between the teacher and the learner about clinical reasoning, enabling specific feedback aimed at improvement.

    Here are a few papers:

    1) https://pubmed.ncbi.nlm.nih.gov/33073665/
    2) https://pubmed.ncbi.nlm.nih.gov/30407911/

    Also, there are GREAT faculty development videos available here.

    Glad to give more information at any point.

    Andrew Olson
    University of Minnesota