Assessing clinical reasoning (ASCLIRE): Instrument development and validation

Advances in Health Sciences Education : Theory and Practice
Olga Kunina-HabenichtOlaf Ahlers

Abstract

Clinical reasoning is an essential competency in medical education. This study aimed at developing and validating a test to assess diagnostic accuracy, collected information, and diagnostic decision time in clinical reasoning. A norm-referenced computer-based test for the assessment of clinical reasoning (ASCLIRE) was developed, integrating the entire clinical decision process. In a cross-sectional study participants were asked to choose as many diagnostic measures as they deemed necessary to diagnose the underlying disease of six different cases with acute or sub-acute dyspnea and provide a diagnosis. 283 students and 20 content experts participated. In addition to diagnostic accuracy, respective decision time and number of used relevant diagnostic measures were documented as distinct performance indicators. The empirical structure of the test was investigated using a structural equation modeling approach. Experts showed higher accuracy rates and lower decision times than students. In a cross-sectional comparison, the diagnostic accuracy of students improved with the year of study. Wrong diagnoses provided by our sample were comparable to wrong diagnoses in practice. We found an excellent fit for a model with three latent fact...Continue Reading

References

Aug 1, 1989·Archives of Dermatology·G R NormanL J Muzzin
Oct 28, 1999·Academic Medicine : Journal of the Association of American Medical Colleges·B HodgesM Hanson
Jan 12, 2002·JAMA : the Journal of the American Medical Association·Ronald M Epstein, Edward M Hundert
Jan 1, 1997·Advances in Health Sciences Education : Theory and Practice·Geoffrey R. Norman, Lee R. Brooks
Jul 2, 2003·Medical Education·Kevin W Eva
Sep 26, 2003·Medical Education·Susan M Downing
Dec 23, 2004·Medical Education·Kevin W Eva
Apr 9, 2005·Medical Education·Geoffrey Norman
Jul 13, 2005·Archives of Internal Medicine·Mark L GraberRuthanna Gordon
Jul 19, 2006·Advances in Health Sciences Education : Theory and Practice·Paul F WimmersHenk G Schmidt
Oct 4, 2006·Annals of Internal Medicine·Tejal K GandhiDavid M Studdert
Oct 16, 2007·Teaching and Learning in Medicine·Claudio Violato, Kent G Hecker
Oct 24, 2007·Archives of Internal Medicine·Hardeep SinghDavid M Studdert
Feb 1, 2008·Medical Teacher·Susan R Swing
May 28, 2008·The American Journal of Medicine·Eta S Berner, Mark L Graber
May 28, 2008·The American Journal of Medicine·Pat Croskerry, Geoff Norman
Mar 13, 2009·JAMA : the Journal of the American Medical Association·David E Newman-Toker, Peter J Pronovost
Aug 12, 2009·Advances in Health Sciences Education : Theory and Practice·Arthur S Elstein
Aug 12, 2009·Advances in Health Sciences Education : Theory and Practice·Pat Croskerry
Apr 21, 2011·Advances in Health Sciences Education : Theory and Practice·Steven J DurningLambert Schuwirth
Apr 21, 2012·Medical Education·Bernard CharlinChristian Bourdy
Apr 27, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Jonathan SherbinoGeoffrey R Norman
Jan 15, 2013·Perspectives on Medical Education·Lambert W T Schuwirth, Cees P M van der Vleuten
May 3, 2013·Advances in Health Sciences Education : Theory and Practice·David A CookRyan Brydges
Dec 24, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Geoffrey NormanSandra Monteiro

❮ Previous
Next ❯

Citations

Mar 31, 2017·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Juliane E KämmerRalf H J M Kurvers
Jun 6, 2018·Medical Education·Wolf E Hautz
Apr 27, 2019·Journal of General Internal Medicine·Harish ThampySubha Ramani
Nov 7, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Celeste S RoyceRichard M Schwartzstein
Feb 15, 2019·Medical Education·Wolf E HautzKevin W Eva
Aug 11, 2019·BMC Medical Informatics and Decision Making·Kate RadcliffeUrmimala Sarkar
May 10, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Wolf E HautzStefan K Schauber

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Medicine : Journal of the Association of American Medical Colleges
D J Self, D C Baldwin
Annual Conference on Research in Medical Education
V Neufeld
© 2022 Meta ULC. All rights reserved