{"title":"Teaching Clinical Reasoning Through Cause-and-Effect Thinking: A Framework for Modern Medical Education","authors":"Arvind Mathur","doi":"10.1111/tct.70201","DOIUrl":null,"url":null,"abstract":"<div>\n \n <p>Clinical reasoning is foundational to effective medical practice, yet explicit instruction in this skill remains insufficient. Traditional bedside teaching, though invaluable, often fails to make reasoning processes transparent, leading to gaps in diagnostic acumen. This article introduces the cause-and-effect clinical method (CECM)—a structured five-step framework designed to make clinical reasoning teachable and visible. Grounded in cognitive science, the method trains learners to think backwards from symptoms to causes and forward to consequences. Through its integration into bedside teaching, case discussions and assessments, the method promises to enhance diagnostic accuracy and prepare learners for the complexities of patient care.</p>\n </div>","PeriodicalId":47324,"journal":{"name":"Clinical Teacher","volume":"22 5","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Teacher","FirstCategoryId":"1085","ListUrlMain":"https://asmepublications.onlinelibrary.wiley.com/doi/10.1111/tct.70201","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
Abstract
Clinical reasoning is foundational to effective medical practice, yet explicit instruction in this skill remains insufficient. Traditional bedside teaching, though invaluable, often fails to make reasoning processes transparent, leading to gaps in diagnostic acumen. This article introduces the cause-and-effect clinical method (CECM)—a structured five-step framework designed to make clinical reasoning teachable and visible. Grounded in cognitive science, the method trains learners to think backwards from symptoms to causes and forward to consequences. Through its integration into bedside teaching, case discussions and assessments, the method promises to enhance diagnostic accuracy and prepare learners for the complexities of patient care.
期刊介绍：
The Clinical Teacher has been designed with the active, practising clinician in mind. It aims to provide a digest of current research, practice and thinking in medical education presented in a readable, stimulating and practical style. The journal includes sections for reviews of the literature relating to clinical teaching bringing authoritative views on the latest thinking about modern teaching. There are also sections on specific teaching approaches, a digest of the latest research published in Medical Education and other teaching journals, reports of initiatives and advances in thinking and practical teaching from around the world, and expert community and discussion on challenging and controversial issues in today"s clinical education.
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