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08/27/26

Effects of case revisitation during deliberate reflection on medical students' diagnostic accuracy: a randomized experiment.

Specian Junior, Francisco Carlos; Aliscantes Silva Brito, Julia Beatriz; Mamede, Silvia; Goulart Campos, Bruno Augusto; Santos, Thiago Martins; Mazzo, Alessandra; Cecilio-Fernandes, Dario. Diagnosis (Berl).

Collection Topics
Cognition and Decision Making Health Professional Education
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Summary

How clinicians reflect on diagnostic cases may influence learning. This Brazilian study engaged 67 medical students to test whether reviewing a case during deliberate reflection changed later diagnostic performance. The study found that both groups had the same overall accuracy, but the timing of their access to case information changed how they learned. Closing off case details forced participants to rely on memory and better recognize diseases they had already studied. Keeping case details visible, however, made it easier to apply that knowledge to new, related situations.
Read the paper
Specian Junior FC, Aliscantes Silva Brito JB, Mamede S, et al. Effects of case revisitation during deliberate reflection on medical students’ diagnostic accuracy: a randomized experiment. Diagnosis (Berl). Epub 2026 Aug 27.