• iStock_000023085537_Full
  • iStock_000019022260_Full
  • iStock_000073656593_Full
  • iStock_000071466987_Full
  • iStock_000033210538_Full
  • iStock_000024732512_Full

Clinical Reasoning Curricula & Assessment

This consortium will serve as a resource and forum for educators both clinical and academic interested in best practice for teaching and assessing clinical reasoning skills. Additionally, the group will work to develop a research plan relative to clinical reasoning and will conduct multi-institutional research projects to increase our understanding of clinical reasoning.

Objectives:

  • To develop a research plan to further the understanding of all aspects of clinical reasoning
  • To conduct multi-site research studies relative to clinical reasoning
  • To provide continuing education relative to teaching and assessing of clinical reasoning
  • To develop best practice standards for clinical reasoning curricula and assessment
  • To be a resource for educators seeking advanced knowledge relative to understanding, teaching and assessing clinical reasoning skills

The CRCAC Consortium will meet at CSM and ELC

    Request to Join

    Note: All of the following fields are required. You must complete the form in it's entirety before submitting. Thank you.

    • 1 Institution
    • 2 Name
    • 3 Email

    Let's Get Started!

    Member Information

    Contact Information

     

    The Scholarship of Eduction SIG of the Education Section is building a mentorship database. The purpose of the database is to create a resource for new educational researchers seeking advice related to their educational research project. Mentee's will be asked to describe their proposed project and establish specific goals which you will be able to review prior to accepting a mentee.  We recognize that your availability  will vary so before asking you to take on a mentee we will contact you to verify your availability and willingness to mentor. 

    Please consider contributing your time and expertise to this new resource. The from to register can be found here: https://goo.gl/forms/oBk9AoLEOQnHEfmf1

    JOIN US for the Clinical Reasoning Symposium in beautiful Omaha, NE on July 20-23, 2017! The symposium will be hosted by Creighton University and is is designed for all educators across academic and clinical environments (DCEs, CCCEs, CIs, Residency/Fellowship Directors/Mentors, Academic Faculty) working to facilitate learners' development of clinical reasoning abilities.

    Register here: https://aptaeducation.org/events/clinical-reasoning-symposium/2017/index.cfm

    Deadline for registration is May 15th!


    • Chair: Karen Huhn PT, PhD Husson University

    huhnk@husson.edu

    • Secretary: Lisa Black PT DPT Creighton University

    lisablack@creighton.edu

    We will be electing new officers this spring including: Vice Chair, Secretary and three nominating committee members, please email Karen Huhn at huhnk@husson.edu if you are interested in one of these positions.

    Position descriptions:

    Vice-Chair: The Vice Chairperson shall 

    a. Assume the duties of the Chairperson at the request of the Chairperson or in the absence or incapacitation of the Chairperson and oversee Consortium ad hoc committees as a voting committee member. 

    b. Serve as the Parliamentarian during the Annual and Special meetings. 

    c. Prepares an annual budget and coordinates funding matters with the ACAPT Treasurer 

    d. Represent the Consortium related to any Consortium program planning responsibilities for ELC. 

    B. Secretary: The Secretary shall: 

    a. Be responsible for keeping the minutes of all Consortium meetings of members and/or officers 

    b. Prepare and submit written reports of the activities of the Consortium to ACAPT Board of Directors; 

    c. Notify Consortium members of the date, time, and place of Consortium meetings; 

    d. Maintain the Consortium’s archives and correspondence 

    e. Make Consortium minutes and policies and procedures available to the membership through the Consortium’s page(s) on the ACAPT website. 

    C. Nominating Committee: The Nominating Committee shall 

    a. Consist of three (3) members. Upon formation of the Consortium and until the first election, there shall be no fewer than two (2) individuals serving as Nominating Committee members. At the time of the first elections, members shall elect a third member of the committee. The senior member of the committee shall serve as Committee Chair for the last year of his/her term. Each member shall serve for three (3) years. One new member shall be elected each year. The Nominating Committee Chair shall oversee the functions of the Nominating Committee. 

    b. Prepares a ballot for offices and coordinates the nomination process; all attempts will be made to include a minimum of two candidates per office, when possible. 

    c. Determines eligibility of prospective candidates. 

    d. Contacts prospective candidates to obtain consent to serve. 

    e. Requests short biography from each candidate to be sent with consent to serve form 

    f. Prepare a slate of one (1) or more names for each office to be filled. The slate (i.e. list of candidates), shall be published in communications to Consortium members and distributed to the membership at least 30 days prior to the election. 

    g. Conducts elections by electronic and mail ballot in conjunction with the Executive Office 

    h. Notifies winners of election and welcomes them 

    i. Notifies individuals not elected and maintains a record of their consent to service for future considerations and needs that may support the work of the Consortium 

    Bibliography of Select Clinical Reasoning Articles:

    Bibliography

    1. Leighton R, S. Model for teaching clinical decision making in a physical therapy professional curriculum. Journal of Physical Therapy Education. 1997;11:23-30.

    2. Tichenor CJ, Davidson J, Jensen G. Cases as shared inquiry: Model for clinical reasoning. Journal of Physical Therapy Education. 1995;9:57-62.

    3. Koharchik L, Caputi L, Rob M, Culleiton AL. Fostering clinical reasoning in nursing students. Am J Nurs. 2015;115:58-61.

    4. Higgs J. Developing clinical reasoning competencies. Physiotherapy. 1993;78:575-582.

    5. Artino, AR, Cleary, T, Dong, T, Hemmer, PA, Durning, SJ. Exploring clinical reasoning in novices: A self-regulated learning microanalytic assessment approach. Medical Education. 2014;48:280-291.

    6. Epstein RM. Mindful practice in action: Technikcal competenece, evidence-based medicien, and relationship-cenered care. Families, Systems & Health. 2003;21:1-9.

    7. Fleming A, Cutrer W, Reimschisel T, Gigante J. You too cna teach clinical reasoning. Pediatric Perspectives. 2012;130.

    8. Durning SJ, Ratcliffe T, Artino AR, et al. How is clinical reasoning developedm maintained, and objectively assessed? views from expert internists and interanal medicine interns. J Contin Educ Health Prof. 2013;33:215-223.

    9. Saucier B, S. Critical thinking outcomes of computer-assisted instruction versus written nursing process. Nurs Health Care Perspect. ;21:240-246.

    10. Durning S, Artino AR, J., Pangaro L, van dV, Schuwirth L. Context and clinical reasoning: Understanding the perspective of the expert's voice. Med Educ. 2011;45:927-938.

    11. Rochmawati R, Wiechula R. Education strategies to foster health professional students' clinical reasoning skills.Nursing and Health Sciences. 2010;12:244-250.

    12. Embrey DG, Guthrie MR, White OR, Dietez J. Clinical decision making by experienced and inexperienced pediatric physical therapists for children with diplegic cerebral palsy. Phys Ther. 2006;76:220-214.

    13. Tanner CA. Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education [H.W. Wilson - EDUC]. 2006;45(6):204. http://search.proquest.com/docview/198113959.

    14. Koharchik L, Caputi L, Robb M, Culleiton A. Fostering clinical reasoning in nursing students. AJN, American Journal of Nursing. 2015;115(1):58-61. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00000446-201501000-00031. doi: 10.1097/01.NAJ.0000459638.68657.9b.

    15. Kumta S, Tsang PL, Cheng J. Fostering critical thinking skills through a web-based tutorial programe for final year medical students- A randominzed control study. Journal of Educational Multimedia and Hypermedia. 2003;12:267-273.

    16. Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006;355:2217-2225.

    17. Mitchell R, Unsworth C. Clinical reasoning during community health home visit: Expert and novice differences. British Journal of Occupational Therapy. 2005;68.

    18. Noll E, Jensen G. Clinical reasoning of an experienced physiotherapist: Insight into clinician decision-making regarding low back pain. Physiotherapy Research International. 2001;6:40-51.

    19. Eva KW. What every teacher needs to know about clinical reasoning. Med Educ. 2005;39:98-106.

    20. Cappelletti A, Engel JK, Prentice D. Systematic review of clinical judgement and reasoning in nursing. J Nurs Educ. 2014;53:453-458.

    21. New resource for patient safety and quality. Advances in Neonatal Care. 2008;8(4):193. doi: 10.1097/01.ANC.0000333700.86195.e5.

    22. Shellenbarger T, Robb M. Technology-based strategies for promoting clinical reasoning skills in nursing education. Nurse Educator. 2015;40(2):79-82. http://www.ncbi.nlm.nih.gov/pubmed/25402714. doi: 10.1097/NNE.0000000000000111.

    23. Woods NN. Science is fundamental: The role of biomedical knowledge in clinical reasoning. Med Educ. 2007;41:1173-1177.

    24. Watson F, Rebair A. The art of noticing: Essential to nursing practice. British Journal of Nursing. 2014;23.

    25. Vendrely A. An investigation of the relationships among academic performance, clinical performance, critical thinking and success on the physical therapy licensure examination. J Allied Health. 2007;36:108.

    26. Case K, Harrison K, Roskell C. Differences in the clinical reasoning process of expert and novice cardiorespiratory physiotherpistsPhysiotherapy. 2000;86:14-21.

    27. Kuiper RA, Pesut DJ. Promoting cognitive and metacognitive reflective reasoining skills in nursing practice: Self-regulated learning theory. J Adv Nurs. 2004;45:381-391.

    28. Schuwirth L. Is assessment of clinical reasoning still the holy grail? Med Educ. 2009;43:298-299.

    29. Scaffa M, W. Brief report-effects of problem-based learning on clinical reasoning in occupational therapy. The American Journal of Occupational Therapy. 2004;58.

    30. Robertson LJ. Clinical reasoning part 2: Novice/expert differences. British Journal of Occupational Therapy. 1996;59:212-216.

    31. Ramani S, Leinster S. AMEE guide no. 34: Teaching in the clinical environment. Med Teach. 2008;30:347-364.

    32. Norman G, Young M, Brooks L. Non-analytical models of clinical reasoning: The role of experience. Med Educ. 2007;41:1140-1145.

    33. Dowding D. Commentary on banning M (2008) A review of clinical decision making: Models and current research. journal of clinical nursing 17, 187-195. Journal of clinical nursing. 2009;18(2):309. http://www.ncbi.nlm.nih.gov/pubmed/19120761. doi: 10.1111/j.1365-2702.2008.02471.x.

    34. Audetat MC, Dory V, Nendaz M, et al. What is so difficult about managing clinical reasoning difficulties? Med Educ. 2012;46:216-227.

    35. Petit dit Dariel O, Ravaut F, Rothan-Tondeur M. Developing serious game potential in nursing education. Nurse education today.

    36. Jensen G, Shepard KF, Hack LM. The novice versus the experienced clincian: Insights into the work of the physical therapist. Phys Ther. 1990;70:314.

    37. Jensen G, Gwyer J, Shepard KF, Hack L. Expert practice in physical therapy. Phys Ther. 2000;80:28-43.

    38. Unsworth CA. The clinical reasoning of novice and expert occupational therapists. Scandinavian Journal of Ocuppational Therapy. 2001;8:163-173.

    39. Simmons B. Clinical reasoning concept analysis. Journal of Advanced Nursing. 2010;66(5).

    40. Groves M, A. Assessing clinical reasoning: A method to monitor its development in a PBL curriculum. Med Teach. 2002;24:507-515.

    41. Eva KW, Hatala RM, LeBlanc VR, Brooks LR. Teaching from the clinical reasoning literature: Combined reasoning strategies help novice diagnosticians overcome misleading information. Med Educ. 2007;41:1152-1158.

    42. Doody C, McAteer M. Clinical reasoning of expert and novice physiotherpists in an outpatient orthopaedic setting.Physiotherapy. 1992;88:258-268.

    43. Kreiter CD, B. The validity of performance-based measures of clinical reasoning and alternative approaches. Med Educ. 2009;43:320-325.

    44. Wessel J, W. Critical thinking and learning styles of students in a problem-based, master's entry-level physical therapy program. Physiotherapy Theory and Practice. 2004;20:79.

    45. McLeod-Sordjan R. Evaluating moral reasoning in nursing education. Nursing Ethics. 2014;21(4):473-483. http://search.proquest.com/docview/1547884116. doi: 10.1177/0969733013505309.

    46. Vendrely A. Critical thinking skills during a physical therapist professional education program. Journal of Physical Therapy Education. 2005;19:55-59.

    47. McCannon R, Robertson D, Caldwell J, Juwah C, Elfessi A. Comparison of clinical reasoning skill in occupational therapy students in the USA and scotlandOccupational Therapy International. 2004;11:160-176.

    48. Seldomridge L, W. Measuring critical thinking in graduate education: What do we know? Nurse Education. 2006;31:132-137.

    49. Newble D, Norman G, Vleuten vd. Assessing clinical reasoning. In: Higgs, J, Jones,M., ed. 2nd ed. Boston: Butterworth Heineman; 2002.

    50. Zettergren KK, Beckett R. Changes in critical thinking scores: An examination of one group of physical therapist students. Journal of Physical Therapy Education. 2004;18:73-79.

    51. Wilson RW. Evaluative properties of critical thinking tests: Change scores from students in physical therapy and other health care professions. Journal of Physical Therapy Education. 2000;14:27-31.

    52. Scott JN, Mrkert RJ, MM D. Critical thinking: Change during medical school and relationship to performance in clinical clerkships. Med Educ. 1998;32:14-18.

    53. May BJ, Dennis JK. Expert decision making in physical therapy-a survey of practitioners. Phys Ther. 1991;71:190.

    54. King C, B. Expertise in diagnostic reasoning: A comparitive study. British Journal of Therapy and Rehabilitation. 1998;5:78-87.

    55. Garrett BM, Callear D. The value of intelligent multimedia simulation for teaching clinical decision-making skills. Nurse Educ Today. 2001;21:382-390.

    56. Bartlett DJ, Cox PD. Measuring the change in students' critical thinking ability: Implications for health care education. J Allied Health. 2002;31:64-69.

    57. Jensen G, Gwyer J, Shepard KF, Hack L. Attribute dimensions that distiguish master and novice therapy clinicians in orthopedic settings. Phys Ther. 1992;72:711.

    58. May B, D. Expert decision making in physical therapy-a survey of practitioners. Phys Ther. 1991;71:190.

    59. Young JQ, Van Merrienboer J, Durning S, Ten Cate O. Cognitive load theory: Implications for medical education: AMEE guide no. 86. Meidcal Teacher. 2014;36:371-384.

    60. Kabanza F, Bisson G, Charneau A, Jang T. Implementing tutoring strategies into a patient simulator for clinical reasoning learning. Artif Intell Med. 2006;38:79-96.

    CSM 2017

    We met at CSM in San Antonio for another great discussion. Select our "Documents" tab to the right to be taken to a Glossary of Terms related to clinical reasoning that was developed at our meeting.

     

    JOIN US for the Clinical Reasoning Symposium in beautiful Omaha, NE on July 20-23, 2017! The symposium will be hosted by Creighton University and is is designed for all educators across academic and clinical environments (DCEs, CCCEs, CIs, Residency/Fellowship Directors/Mentors, Academic Faculty) working to facilitate learners' development of clinical reasoning abilities.

    Register here: https://aptaeducation.org/events/clinical-reasoning-symposium/2017/index.cfm

    Deadline for registration is May 15th!


     

    JOIN US for the Clinical Reasoning Symposium in beautiful Omaha, NE on July 20-23, 2017! The symposium will be hosted by Creighton University and is is designed for all educators across academic and clinical environments (DCEs, CCCEs, CIs, Residency/Fellowship Directors/Mentors, Academic Faculty) working to facilitate learners' development of clinical reasoning abilities.

    Register here: https://aptaeducation.org/events/clinical-reasoning-symposium/2017/index.cfm

    Deadline for registration is May 15th!


    Join the Conversation. Contribute and Share in the ACAPT Discussions

    Start Sharing

    May 16, 2017
    Timeline for presenting motion at ELC

    Are you planning to present a motion at ELC? Check out the timeline for submission!

    Full story

    May 16, 2017
    So much is happening within ACAPT!

    Check out the most recent Report from ACAPT Leaderhip

    Full story

    May 16, 2017
    Clinical Education Technology Work Group Getting Started!

    Kicking off in June 2017 the Clinical Education Technology Work Group!

    Full story

    Stay Informed & Up-To-Date with ACAPT

    Sponsors & Partners