A Curriculum for Diagnostic Reasoning: JGIM’s Exercises in Clinical Reasoning
In 2013, an estimated 251,000 deaths occurred due to medical error in the USA.1 Diagnostic errors make up a subset of these errors. Improving Diagnosis in Health Care advocates for training in clinical reasoning (CR) as a preventative strategy.2 However, there are few available resources to aid clinician-educators in teaching CR.
To advance professional development in teaching foundational CR concepts, the Journal of General Internal Medicine (JGIM) initiated the Exercises in Clinical Reasoning (ECR) series.3 This series utilizes expert clinicians’ discussions of challenging cases to demystify the CR process. We created a novel open-access online CR toolbox with downloadable teaching modules based on the print ECR series.4 By using this toolbox, teachers can engage learners in the case-based application of core CR concepts. In this report, we describe the process of developing this resource, its current usage statistics, and goals for future assessment and development.
Compliance with Ethical Standards
Conflict of Interest
Dr. Manesh is supported by the Jeremiah A. Barondess Fellowship in the Clinical Transaction of the New York Academy of Medicine, in collaboration with the Accreditation Council for Graduate Medical Education (ACGME). No other conflict of interest exists, financial or others, to the best of our knowledge.
- 2.National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. Washington, DC: The National Academies Press; 2015.Google Scholar
- 4.Clinical Reasoning Exercises: Introduction to Exercise in Clinical Reasoning. Available at: https://www.sgim.org/web-only/clinical-reasoning-exercises. Accessed 9 June 2018.