Diagnostic reasoning: an endangered competency in internal medicine training.
Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163.
Diagnostic reasoning is a core component of safe care, but its presence as a topic in clinical training is not robust. This commentary recommends a three-element approach to augment clinical education on diagnostic reasoning, which includes focusing on the structure of teaching conferences and rounds, the training environment, and mechanisms to monitor and assess diagnostic reasoning abilities.