Clinical reasoning curricula in undergraduate medical education
CReME published a consensus statement on the content of clinical reasoning curricula in undergraduate medical education, covering the 'what' and the 'how' of teaching clinical reasoning, also applicable to postgraduate medical education.
We explored the ideas in the consensus statement in an ASME Bitesize webinar which you can access here.
The content of the consensus statement is summarised in these tables.
Mini Singh and colleagues published what they did at the largest UK medical school: embedding clinical reasoning as a longitudinal curriculum theme in both teaching and assessment. You can view their paper here.
Daniel et al published a useful scoping review of clinical reasoning assessment methods.
Assessing clinical reasoning in the OSCE: pilot-testing a novel Oral Debrief exercise. BMC Medical Education, 2023.
We explored the ideas in the consensus statement in an ASME Bitesize webinar which you can access here.
The content of the consensus statement is summarised in these tables.
Mini Singh and colleagues published what they did at the largest UK medical school: embedding clinical reasoning as a longitudinal curriculum theme in both teaching and assessment. You can view their paper here.
Daniel et al published a useful scoping review of clinical reasoning assessment methods.
Assessing clinical reasoning in the OSCE: pilot-testing a novel Oral Debrief exercise. BMC Medical Education, 2023.
Videos and podcasts
Watch this 27-minute video for clinical teachers: 'An introduction to teaching clinical reasoning'.
Dr Mark Lilicrap talks about clinical reasoning in medical education in this TASME Time podcast.
10-minute podcasts from @MEM_Cast:
Dr Mark Lilicrap talks about clinical reasoning in medical education in this TASME Time podcast.
10-minute podcasts from @MEM_Cast:
Infographics
Infographic 1: clinical reasoning curricula
Infographic 2: clinical reasoning: what to teach
Infographic 3: clinical reasoning: how to teach
Infographic 2: clinical reasoning: what to teach
Infographic 3: clinical reasoning: how to teach
Useful links
Society to Improve Diagnosis in Medicine
Diagnosis journal
Association for the Study of Medical Education
Association for Medical Education in Europe
The Institute of Medicine launched it's report, 'Improving Diagnosis in Healthcare' on 22nd September 2015. It's recommendations emphasise: better education and training in all aspects of the diagnostic process, better teamwork between healthcare professionals, patients and their families in this process, and a culture that identifies and learns from diagnostic error. The report can be viewed here.
Diagnosis journal
Association for the Study of Medical Education
Association for Medical Education in Europe
The Institute of Medicine launched it's report, 'Improving Diagnosis in Healthcare' on 22nd September 2015. It's recommendations emphasise: better education and training in all aspects of the diagnostic process, better teamwork between healthcare professionals, patients and their families in this process, and a culture that identifies and learns from diagnostic error. The report can be viewed here.
Recommended books for teachers
Recommended books for beginners
- How doctors think. Jerome Groopman. Mariner Books, 2008.
- Diagnosis. Dispatches from the frontlines of medical mysteries. Lisa Sanders (physician who inspired the TV show 'House'). Icon Books, 2010.
- The science of the art of medicine. A guide to medical reasoning. John Brush. iBook available here or Dementi Milestone Publishing, 2015.
- Surgical Metacognition: Smarter Decision-making for Surgeons. Uttam Shiralkar. Surgical Psychology Publishing, 2023.
- Learning clinical reasoning 2nd Ed. Kassirer, Wong and Kopelman. Lippincott, Williams & Wilkins, 2009.
- Medical decision making 2nd Ed. Sox HC, Higgins MC, Owens DK. Wiley-Blackwell, 2013.
- Clinical reasoning in the health professions 3rd ed. Higgs, Jones, Loftus, Christensen [Eds]. Elsevier, 2008.
- The JAMA Rational Clinical Examination series