Michael A Gottfried, Arya Ansari
Detailing New Dangers: Linking Kindergarten Chronic Absenteeism to Long-Term Declines in Executive Functioning
The Elementary school journal
clinical reasoning process requires biomedical knowledge knowledge problemsolving strategies knowledge reasons diagnostic procedures key element physicians daily practice difficult assess aim study empirically develop clinical reasoning indicatorshistory takingscale crihts assess clinical reasoning ability advanced medical students simulation involving history taking clinical reasoning indictorshistory takingscale crihts including 5point likert scale assessment designed clinical reasoning indicators identified qualitative study 2017 assess indicators clinical reasoning ability 65 advanced medical students semester 10 n 25 versus final year n 40 three medical schools participated 360degree competence assessment role beginning residents simulated first workday hospital assessment included consultation hour five simulated patients videotaped videos 325 patient consultations assessed using crihts factor analysis conducted students results compared according advancement undergraduate medical training clinical reasoning indicators crihts loaded three factors relevant clinical reasoning 1 focusing questions 2 creating context 3 securing information students reached significantly different scores p 001 three factors factor 1 407 47 factor 2 372 43 factor 3 279 83 students semester 10 reached significantly lower scores factor 3 students final year p 05 newly developed crihts worked well quantitative assessment clinical reasoning indicators history taking threefactored structure helped explore different aspects clinical reasoning whether crihts potential used scale objective structured clinical examinations ocses workplacebased assessments clinical reasoning investigated studies larger student cohorts