Assessing clinical reasoning: moving from in vitro to in vivo
Abstract: The last century saw dramatic changes in clinical practice and medical education and the concomitant rise in high-stakes, psychometrically-based examinations of medical knowledge. Higher scores on these high-stakes “in-vitro” examinations are modestly associated with better performance in clinical practice and provide a meaningful degree of assurance to the public about physicians’ competency in medical knowledge. However, results on such examinations explain only a small fraction of the wide variation currently seen in clinical practice and diagnostic errors remain a serious and vexing problem for patients and the healthcare system despite decades of high-stakes examinations. In this commentary we explore some of the limitations of high-stakes examinations in assessing clinical reasoning and propose utilizing situated cognition theory to guide research and development of innovative modes of ”in-vivo” assessments that can be used in longitudinally and continuously in clinical practice.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Assessing clinical reasoning: moving from in vitro to in vivo ; volume:1 ; number:1 ; year:2014 ; pages:111-117
Diagnosis ; 1, Heft 1 (2014), 111-117
- Creator
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Holmboe, Eric S.
Durning, Steven J.
- DOI
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10.1515/dx-2013-0029
- URN
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urn:nbn:de:101:1-2412011621593.048976671189
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:21 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Holmboe, Eric S.
- Durning, Steven J.
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