Summary
Effective instruction requires simultaneously assessing the patient and the learner's diagnostic skills. This commentary explores how physicians develop clinical reasoning competency and offers practical strategies for educators. The author suggests teachers must understand learning theory, examine patients independently alongside students, and evaluate each learner’s developmental stage. Balancing patient safety, professional role-modeling, and reasoning development defines the core art of clinical teaching.
Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006;355(21):2217-2225.