Training on clinical reasoning in US med schools

Jason Maude jason.maude at ISABELHEALTHCARE.COM
Thu Aug 31 10:58:44 UTC 2017


Many congratulations to Joe Renic and his colleagues for this study which is brilliant but left me both horrified and speechless.

It does a real service by shining a light on this huge gap in national medical education. We all accept that clinical reasoning is a fundamental part of being a good doctor so how can we have arrived at a situation where even poor or fair students only receive a total of 6.4 hours of dedicated instruction on this topic?

Isn’t this a bit like pilots only getting a tiny amount of their overall training on take-offs?!

Regards
Jason

Jason Maude
Founder and CEO Isabel Healthcare
Tel: +44 1428 644886
Tel: +1 703 879 1890
www.isabelhealthcare.com<http://www.isabelhealthcare.com/>



From: Mark Graber <Mark.Graber at IMPROVEDIAGNOSIS.ORG>
Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Mark Graber <Mark.Graber at IMPROVEDIAGNOSIS.ORG>
Date: Tuesday, 29 August 2017 at 14:38
To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: [IMPROVEDX] Training on clinical reasoning in US med schools

Congratulations to Joe Rencic and colleagues for this important article on teaching clinical reasoning in US med schools.  A survey of clerkship directors with a high response rate found that less than half of schools have a formal curriculum on clinical reasoning, and that 80% were dissatisfied with student reasoning competency at the end of the clerkship.

This is an area where SIDM is highly engaged and trying to improve the current state of affairs.  Most of the authors of this paper are members of SIDM and the SIDM Education Committee.  There are many excellent resources for educators on the SIDM website, in particular the items in the Clinical Reasoning Toolkit<http://www.improvediagnosis.org/page/ClinicalReasoning>.


Mark L Graber, MD FACP
President, SIDM
Senior Fellow, RTI International
Professor Emeritus, Stony Brook University, NY
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