Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/115453
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Type: Journal article
Title: A qualitative study of experienced clinical teachers’ conceptualisation of clinical reasoning in medicine: implications for medical education
Author: Angus, L.
Chur-Hansen, A.
Duggan, P.
Citation: Focus on Health Professional Education, 2017; 19(1):52-64
Publisher: ANZAHPE
Issue Date: 2017
ISSN: 1442-1100
2204-7662
Statement of
Responsibility: 
Lachlan Angus, Anna Chur-Hansen, Paul Duggan
Abstract: Clinical reasoning is an essential part of medical practice. Training medical students to reason competently is, therefore, an essential skill for clinical teachers. Ongoing debate over what clinical reasoning entails and difficulty explicitly teaching and assessing. it makes this a challenging task. This study explored clinical teachers, understanding of the concept of clinical reasoning. Methods, Nine experienced clinical teachers participated in semi-structured interviews about clinical reasoning, exploring concepts, experiences, teaching and assessment. Interviews were transcribed and analysed thematically. Results, Ten key themes were identified in relation to participants, understanding of clinical reasoning. These include the findings that clinical reasoning is, essential to medical practice, goal oriented, an applied cognitive process and an unconscious process. Clinical reasoning has several requirements, including knowledge, communication skills, experience and reflection. Participants reported that clinical reasoning is difficult, perhaps impossible, to teach. Conclusions, In this qualitative study, clinical teachers concurred with many of the characteristics of clinical reasoning as it is understood in the literature, but they also challenged assumptions made in medical education research regarding the conceptualisation of clinical reasoning. This has implications for teaching, assessment, student selection and professional development.
Keywords: Clinical reasoning; qualitative; teaching; medical education
Rights: © ANZAHPE
RMID: 0030086970
DOI: 10.11157/fohpe.v19i1.197
Appears in Collections:Education publications

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