How to ... Coach Problem Representation to Strengthen Diagnostic Reasoning in Trainees.
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| Title: | How to ... Coach Problem Representation to Strengthen Diagnostic Reasoning in Trainees. |
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| Authors: | Clary, Cody1 (AUTHOR) clary@bcm.edu, Cohen, Adam2 (AUTHOR), Thammasitboon, Satid3 (AUTHOR) |
| Source: | Clinical Teacher. Jun2026, Vol. 23 Issue 3, p1-5. 5p. |
| Subject Terms: | *Medical personnel training, *Educational coaching, *Clinical education, Hospital rounds, Symptoms, Diagnosis |
| Abstract: | Problem representation (PR) is a concise synthesis of clinical information that captures the core diagnostic problem in a single statement, often referred to as a 'one‐liner'. Although central to diagnostic reasoning, this skill is frequently underdeveloped in medical training. Many trainees struggle to transform clinical data into meaningful representations, which can hinder communication, diagnostic reasoning and patient safety. The Assessment of Reasoning Tool–Reconstructed (ART‐R) provides a structured framework that educators can adapt as a coaching rubric to strengthen PR during clinical teaching. Using the ART‐R, faculty can guide trainees to refine their PR by focusing on three elements: (1) clarity of the synthesized clinical problem; (2) emphasis on diagnostically relevant positive and negative findings; (3) use of precise medical terminology. This micro‐coaching approach can be naturally embedded into clinical rounds through brief prompts that encourage trainees to refine their one‐liner summaries. Through repeated practice, trainees develop increasingly abstracted representations that activate illness scripts and support diagnostic hypothesis generation. Coaching PR in this way provides a practical, low‐burden strategy for strengthening diagnostic reasoning during routine clinical teaching. Integrating this approach into patient presentations can help educators cultivate stronger diagnostic reasoning. [ABSTRACT FROM AUTHOR] |
| Copyright of Clinical Teacher is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 193836607 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: How to ... Coach Problem Representation to Strengthen Diagnostic Reasoning in Trainees. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Clary%2C+Cody%22">Clary, Cody</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> clary@bcm.edu</i><br /><searchLink fieldCode="AR" term="%22Cohen%2C+Adam%22">Cohen, Adam</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thammasitboon%2C+Satid%22">Thammasitboon, Satid</searchLink><relatesTo>3</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Clinical+Teacher%22">Clinical Teacher</searchLink>. Jun2026, Vol. 23 Issue 3, p1-5. 5p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Medical+personnel+training%22">Medical personnel training</searchLink><br />*<searchLink fieldCode="DE" term="%22Educational+coaching%22">Educational coaching</searchLink><br />*<searchLink fieldCode="DE" term="%22Clinical+education%22">Clinical education</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+rounds%22">Hospital rounds</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Problem representation (PR) is a concise synthesis of clinical information that captures the core diagnostic problem in a single statement, often referred to as a 'one‐liner'. Although central to diagnostic reasoning, this skill is frequently underdeveloped in medical training. Many trainees struggle to transform clinical data into meaningful representations, which can hinder communication, diagnostic reasoning and patient safety. The Assessment of Reasoning Tool–Reconstructed (ART‐R) provides a structured framework that educators can adapt as a coaching rubric to strengthen PR during clinical teaching. Using the ART‐R, faculty can guide trainees to refine their PR by focusing on three elements: (1) clarity of the synthesized clinical problem; (2) emphasis on diagnostically relevant positive and negative findings; (3) use of precise medical terminology. This micro‐coaching approach can be naturally embedded into clinical rounds through brief prompts that encourage trainees to refine their one‐liner summaries. Through repeated practice, trainees develop increasingly abstracted representations that activate illness scripts and support diagnostic hypothesis generation. Coaching PR in this way provides a practical, low‐burden strategy for strengthening diagnostic reasoning during routine clinical teaching. Integrating this approach into patient presentations can help educators cultivate stronger diagnostic reasoning. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Clinical Teacher is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=193836607 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/tct.70426 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 1 Subjects: – SubjectFull: Medical personnel training Type: general – SubjectFull: Educational coaching Type: general – SubjectFull: Clinical education Type: general – SubjectFull: Hospital rounds Type: general – SubjectFull: Symptoms Type: general – SubjectFull: Diagnosis Type: general Titles: – TitleFull: How to ... Coach Problem Representation to Strengthen Diagnostic Reasoning in Trainees. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Clary, Cody – PersonEntity: Name: NameFull: Cohen, Adam – PersonEntity: Name: NameFull: Thammasitboon, Satid IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 17434971 Numbering: – Type: volume Value: 23 – Type: issue Value: 3 Titles: – TitleFull: Clinical Teacher Type: main |
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