Role of summarizing case characteristics in cultivating clinical reasoning among resident physicians
Liu Jun
Wang Ying
Xue Ruicong
Zhong Xiaoze
Lin Kaisheng
Chen Shuying
Hu Wenjie
Kuang Ming
Abstract：Clinical reasoning is the process in which doctors apply the general laws of the disease they have mastered to determine the hypotheses and logical reasoning of individual patients.There are two ways of reasoning:intuitive reasoning and logical reasoning.Case characteristics mainly include symptoms,signs,laboratory diagnoses and auxiliary instrumental examinations,so they are very similar to the illness scripts.Summarizing case characteristics is a necessary step in the clinical reasoning teaching framework,and it is also a highly condensed and precise clinical problem representation for patients,reflecting the personalized clinical reasoning of resident physicians.Due to incomplete understanding of the case characteristics and insufficient number of clinical illness scripts,resident physicians should focus on cultivating their logical reasoning ability.They can be guided to start by summarizing the case characteristics and determining the breakthrough point,using the"hypothetical deduction reasoning"thinking mode of positioning,qualitative,causal,and planning for training.Only by having more contact with patients and repeated training can resident physicians gradually develop intuitive judgment and pattern recognition abilities with the increase of clinical experience and illness scripts,while converting them into logical analysis as needed.
Keywords：standardized residency trainingguidelines for teaching activitieslearning and implementationcase characteristicsclinical reasoning
Publication Date：2024-08-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 561-566 )