Megumi Kagotani, Takashi Asakura, Hiromi Sakuma
[Factors related to plateauing among Yogo teachers]
[Nihon koshu eisei zasshi] Japanese journal of public health
problemsolving terms clinical reasoning regarded key competence medical doctors little known general cognitive actions underlying strategies problemsolving among medical students study theorybased model used adapted order investigate cognitive actions medical students engaged dealing case patterns actions related correct solution twentythree medical students worked three cases clinical nephrology using thinkaloud method transcribed recordings coded using theorybased model consisting eight different cognitive actions coded data analysed using time sequences graphical representation software furthermore relationship coded data accuracy diagnosis investigated inferential statistical methods observation main actions case elaboration including evaluation representation integration considered complete model found majority cases 56 pattern significantly related accuracy case solution 055 p001 extent prior knowledge neither related complete model correct solution proposed model suitable empirically verify cognitive actions problemsolving medical students cognitive actions evaluation representation integration crucial complete model therefore accuracy solution educational implication may drawn study foster students reasoning focusing higher level reasoning