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Assessment and Remediation of Clinical Reasoning

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Remediation in Medical Education

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Abstract

Struggles with clinical reasoning are common among medical learners. Assessment of clinical reasoning skills, both diagnosis and management, can be challenging in the clinical environment. The clinical reasoning process is commonly broken down into: generating hypotheses, gathering data, forming a problem representation, creating a differential diagnosis through refinement of initial hypotheses, selecting a working diagnosis, and developing a management plan. This chapter describes a sequenced approach to the remediation of learners who struggle with clinical reasoning, which includes timely identification, global and targeted assessment, coaching, and continuing evaluation and assessment along this clinical reasoning pathway. Coaching sessions use case-based exercises to specify the primary area to support and standardized direct observation to help the learner translate the emerging skillset into practice.

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Author information

Authors and Affiliations

  1. Departments of Medicine and Public Health, University of Virginia School of Medicine, Charlottesville, VA, USA

    Andrew S. Parsons

  2. Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

    Karen M. Warburton

Authors
  1. Andrew S. Parsons
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  2. Karen M. Warburton
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Corresponding author

Correspondence to Andrew S. Parsons .

Editor information

Editors and Affiliations

  1. Robert D. and Patricia E. Kern Institute for the Transformation of Medical Education, Medical College of Wisconsin, Milwaukee, WI, USA

    Adina Kalet

  2. Veterans Affairs Health Care System, University of California, San Francisco, San Francisco, CA, USA

    Calvin L. Chou

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Parsons, A.S., Warburton, K.M. (2023). Assessment and Remediation of Clinical Reasoning. In: Kalet, A., Chou, C.L. (eds) Remediation in Medical Education. Springer, Cham. https://doi.org/10.1007/978-3-031-32404-8_9

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  • DOI: https://doi.org/10.1007/978-3-031-32404-8_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-32403-1

  • Online ISBN: 978-3-031-32404-8

  • eBook Packages: MedicineMedicine (R0)

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