Evidence map›Paper›PMID 30800973›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2018

Clinical Reasoning in the Primary Care Setting: Two Scenario-Based Simulations for Residents and Attendings.

Alexis Battista, Abigail Konopasky, Divya Ramani, Megan Ohmer, Jeffrey Mikita, Anna Howle, Sarah Krajnik, Dario Torre, Steven J Durning

Abstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Context factors in clinical decision-making: a scoping review.BMC medical informatics and decision making · 2025
    Article
  2. Article
  3. Article
  4. Clinical Reasoning in the Ward Setting: A Rapid Response Scenario for Residents and Attendings.MedEdPORTAL : the journal of teaching and learning resources · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alexis BattistaAssistant Professor, Graduate Programs in Health Professions Education, Uniformed Services University of the Health Sciences.ORCID 0000-0001-8313-0481
Abigail KonopaskyAssistant Professor, Graduate Programs in Health Professions Education, Uniformed Services University of the Health Sciences.
Divya RamaniResearch Associate, Graduate Programs in Health Professions Education, Uniformed Services University of the Health Sciences.
Megan OhmerResearch Associate, Graduate Programs in Health Professions Education, Uniformed Services University of the Health Sciences.
Jeffrey MikitaChief, Department of Simulation, Walter Reed National Military Medical Center.
Anna HowleSimulation Educator, Department of Medical Simulation, Walter Reed National Military Medical Center.
Sarah KrajnikNurse Educator, Department of Simulation, Walter Reed National Military Medical Center.
Dario TorreAssociate Director, Graduate Programs in Health Professions Education, Uniformed Services University of the Health Sciences.
Steven J DurningDirector, Graduate Programs in Health Professions Education, Uniformed Services University of the Health Sciences.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: We describe the development and implementation of tools medical educators or researchers can use for developing or analyzing residents' through attending physicians' clinical reasoning in an outpatient clinic setting. The resource includes two scenario-based simulations (i.e., diabetes, angina), implementation support materials, an open-ended postencounter form, and a think-aloud reflection protocol. Method: We designed two scenarios with potential case ambiguity and contextual factors to add complexity for studying clinical reasoning. The scenarios are designed to be used prior to an open-ended written exercise and a think-aloud reflection to elicit reasoning and reflection. We report on their implementation in a research context but developed them to be used in both educational and research settings. Results: Twelve physicians (five interns, three residents, and four attendings) considered between three and six differential diagnoses ( Discussion: The potential case content ambiguity, along with the contextual factors (e.g., patient suggesting alternative diagnoses), provides a complex environment in which to explore or teach clinical reasoning.

Indexed as

Clinical CompetenceEducation, Medical, ContinuingHumansInternal MedicineInternship and ResidencyPrimary Health CareSimulation TrainingThinkingAnginaAttendingClinical ReasoningDiabetesInternScenario-Based SimulationSimulationStandardized PatientThink-Aloud

Identifiers

PMID30800973
PMCPMC6346281

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.