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Med J Islam Repub Iran. 2015 Jun 15;29:222. eCollection 2015.

Clinical reasoning assessment through medical expertise theories: past, present and future directions.

Medical journal of the Islamic Republic of Iran

Elham Boushehri, Kamran Soltani Arabshahi, Alireza Monajemi

Affiliations

  1. PhD candidate of Medical Education at Iran University of Medical Science, Faculty of Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran. [email protected].
  2. MD, Professor, Center for Educational Research in Medical Sciences (CERMS), Iran University of Medical Science, Tehran, Iran. [email protected].
  3. MD, PhD, Assistant Professor, Department of Philosophy of Science, Institute for Humanities and Cultural Studies, Tehran, Iran. [email protected].

PMID: 26478880 PMCID: PMC4606956

Abstract

Exploration into the concept of "medical expert" dates back to more than 50 years ago, yet yielding three leading theories in the area of clinical reasoning, namely, knowledge structure, hypotheticdeductive, and dual process. Each theory defines "medical expert" in a dissimilar way. Therefore, the methods of assessment through which the experts are identified have been changed during the time. In this paper, we tried to categorize and introduce some widely used tests for identification of experts within the framework of existing main theories. Implementation of the proposed categorization for providing future assessment tools is discussed.

Keywords: Analytical approach; Assessment; Clinical reasoning; Experts; Non-analytical approach

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