Table 1
Summary of recommendations for developing and detailing an assessment of clinical reasoning
|
Recommendation |
Example |
Resources |
|---|---|---|
|
Definition/Conceptualization Provide an explicit definition or conceptualization of clinical reasoning being used in the assessment |
“For the purpose of this paper, clinical reasoning is defined as a skill, process, or outcome wherein clinicians observe, collect, and interpret data to diagnose and treat patients” [14, p. 902] | |
|
Theories of clinical reasoning/Conceptual frameworks Incorporate and discuss any theoretical frameworks that inform the conceptualization of clinical reasoning and its assessment |
Script theory is provided as the theoretical basis for the script concordance test [45] | |
|
Assessment methodology Provide specific descriptions of the stimulus format, response format, scoring activity, and rater information |
Methodology includes detailed description of standardized patient exam with free text response, evaluated by physician raters using a grading protocol [46] | |
|
Validity Describe sources of validity evidence using an established framework, including reliability measures |
Content, response process, and internal structure provided as sources of validity evidence for an instrument evaluating virtual patient design [47] |