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ORIGINAL ARTICLE
Year : 2012  |  Volume : 1  |  Issue : 1  |  Page : 10

A comprehensive test of clinical reasoning for medical students: An olympiad experience in Iran


1 Department of Philosophy of Science, Institute for Humanities and Cultural Studies, Tehran, Iran
2 Center for Educational Research in Medical Sciences, Tehran, Iran
3 Endocrinology and Metabolism Research Center (EMRC), Tehran University of Medical Sciences, Tehran, Iran
4 Department of Oncology, Zahedan University of Medical Sciences, Zahedan, Iran
5 Department of Internal Medicine, School of Medicine, Babol University of Medical Sciences, Babol, Iran
6 Medical Education Development Center, University of Utrecht Medical Center, Utrecht, Netherlands
7 Medical Education Development Center, Isfahan University of Medical Sciences, Isfahan, Iran
8 Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
9 Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence Address:
Alireza Monajemi
Assistant Professor, Institute for Humanities and Cultural Studies, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2277-9531.94420

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Although some tests for clinical reasoning assessment are now available, the theories of medical expertise have not played a major role in this filed. In this paper, illness script theory was chose as a theoretical framework and contemporary clinical reasoning tests were put together based on this theoretical model. Based on this model, we concluded that no single test could thoroughly assess clinical reasoning competency, and therefore a battery of clinical reasoning tests is needed. This battery should cover all three parts of clinical reasoning process: Script activation, selection and verification. In addition, not only both analytical and non-analytical reasoning, but also both diagnostic and management reasoning should evenly take into consideration in this battery. This paper explains the process of designing and implementing the battery of clinical reasoning in the Olympiad for medical sciences students through an action research.


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