Evidence map›Paper›PMID 39291790›Full record

ArticleJournal of evaluation in clinical practice2025

Exploring context and culture in clinical reasoning medical education: A qualitative exploratory study.

Erin Cameron, Holly Fleming, Rylee Mose, Sandra Monteiro

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Duagnosis: Locating Clinical Uncertainty in the Diagnostic Framework.Journal of evaluation in clinical practice · 2026
    Article
  2. Article
  3. 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

4 authors.

Erin CameronFaculty Affairs, Human Sciences Division, Medical Education Research Lab in the North (MERLIN), Northern Ontario School of Medicine University (NOSM University), Thunder Bay, Ontario, Canada.ORCID 0000-0002-3529-9247
Holly FlemingFaculty Affairs, Human Sciences Division, Medical Education Research Lab in the North (MERLIN), Northern Ontario School of Medicine University (NOSM University), Thunder Bay, Ontario, Canada.
Rylee MoseFaculty Affairs, Human Sciences Division, Medical Education Research Lab in the North (MERLIN), Northern Ontario School of Medicine University (NOSM University), Thunder Bay, Ontario, Canada.
Sandra MonteiroFaculty of Health Sciences, Department of Medicine, Division of Educaiton and Innovation, McMaster Education Research, Innovation, and Theory (MERIT), McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-8723-5942

Funding

Northern Ontario Academic Medicine AssociationSudbury LEG
6 · The paper itself

Abstract

backgroundClinical reasoning processes are complex and interwoven with culture and context. While these relationships have been explored to understand the outcomes of clinical reasoning, there has been little exploration of how to integrate these relationships when teaching and learning clinical reasoning.

methodsUsing semi-structured interviews, this research explored the role of context and culture in clinical reasoning medical education. Participants were clinical teachers recruited from across Northern Ontario. The data were analysed independently by two reviewers using both thematic analysis and critical discourse analysis, and peer reviewed by a third researcher.

resultsThe role of context and culture is inherent to the personal, professional and pedagogical aspects of clinical reasoning, especially when teaching about the complexities of Northern Ontario. The major themes that came through were: 1) teaching and learning clinical reasoning needs reflexivity, 2) developing clinical reasoning skills needs time and 3) clinical reasoning pedagogy should acknowledge and encompass practice variation and patient diversity.

conclusionTeaching clinical reasoning in Northern Ontario involves being aware of the complexities that are inherent in interacting with patients and communities. Through personal, professional and pedagogical models, the students and teachers can address the complexities of cultural and contextual clinical reasoning.

Indexed as

Clinical ReasoningCultureEducation, MedicalClinical CompetenceFemaleHumansInterviews as TopicMaleOntarioQualitative ResearchTeachingclinical reasoningcontextculturemedical education

Identifiers

PMID39291790
PMCPMC11938410

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.