Suchada Sutthiworapon, Polathep Vichitkunakorn, Kittisakdi Choomalee, Pitchayanont Ngamchaliew
Effect of online infographics for enhancing health literacy among patients with type 2 diabetes in primary care unit during the COVID-19 pandemic: a randomized controlled trial
BMC primary care
clinical reasoning vitally important practitioners across health professions however assessment clinical reasoning remains significant challenge combined assessment methods nonworkplacebased assessment increase opportunities address multiple components clinical reasoning evaluate growth foster learning tools validity evidence assess clinical reasoning outside workplace scare study examined validity evidence novel clinical reasoning mapping exercise cresme data include cresme performance scores 120 thirdyear medical students university central florida 3 topics may 2022 cresme scored 2 physician raters based scoring rubric included combined diagnosis sequence score descriptive statistics used examine trends scores authors gathered validity evidence response process internal structure relations variables overall mean sd score across cases 66 29 internal consistency reliability cases cronbach ranged 075 091 phi g coefficients 045 056 respectively students accounted 10 total variance indicating ability differentiate high low clinical reasoning skills interaction learner case accounted 81 variance demonstrating case specificity moderate correlation overall cresme scores mean overall score patient encounter notes objective structured clinical examination performed end third year 046 p 001 significant associations also found cresme scores subject exam scores cresme used facilitate assessment clinical reasoning supporting developmental progress learners throughout curriculum future research needed gather validity evidence cresmes different learners across different settings formats