Nadia Hachoumi, Mohamed Eddabbah, Ahmed Rhassane El Adib
{"title":"用机器学习K-Means算法提高临床推理能力","authors":"Nadia Hachoumi, Mohamed Eddabbah, Ahmed Rhassane El Adib","doi":"10.1111/jep.70250","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>The enhancement of clinical reasoning is crucial in health sciences education for producing skilled practitioners. This study explores whether machine learning, particularly the K-means clustering algorithm, can detect technical and conceptual errors occurring while students are engaged in problem-solving. The study's main questions ask to what extent machine learning provides opportunities for a personalized approach towards educational interventions aimed at certain types of reasoning deficits.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A new method was proposed to classify students on clinical reasoning skills by integrating K-means clustering with Bloom's taxonomy. The approach gathered learners in clusters at different levels of cognition, starting from very basic cognitive processes of recalling factual knowledge to fully advanced clinical problematization. It was these reverse-engineered clusters that allowed the design of pedagogy that targeted the specific cognitive needs of the groups.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Clustering using the K-means method provides valuable insights into performance patterns in student behaviour that extend beyond the limitations of conventional assessments. By placing students on a continuum of reasoning abilities, educators were able to take action to respond to individual learning paths. Such interventions could be applied in real time at the scale necessary for effective targeted instruction, which is essential for closing reasoning gaps.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The combination of machine learning, especially K-means clustering, and educational theory, such as Bloom's taxonomy, results in electronic-high-scale, multi-evidence, personalized clinical training. This is another theorem on how machine learning enables teaching and individual learning by a student in various cognitive domains.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Improving Clinical Reasoning Skills With Machine Learning K-Means Algorithm\",\"authors\":\"Nadia Hachoumi, Mohamed Eddabbah, Ahmed Rhassane El Adib\",\"doi\":\"10.1111/jep.70250\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>The enhancement of clinical reasoning is crucial in health sciences education for producing skilled practitioners. This study explores whether machine learning, particularly the K-means clustering algorithm, can detect technical and conceptual errors occurring while students are engaged in problem-solving. The study's main questions ask to what extent machine learning provides opportunities for a personalized approach towards educational interventions aimed at certain types of reasoning deficits.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A new method was proposed to classify students on clinical reasoning skills by integrating K-means clustering with Bloom's taxonomy. The approach gathered learners in clusters at different levels of cognition, starting from very basic cognitive processes of recalling factual knowledge to fully advanced clinical problematization. It was these reverse-engineered clusters that allowed the design of pedagogy that targeted the specific cognitive needs of the groups.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Clustering using the K-means method provides valuable insights into performance patterns in student behaviour that extend beyond the limitations of conventional assessments. By placing students on a continuum of reasoning abilities, educators were able to take action to respond to individual learning paths. Such interventions could be applied in real time at the scale necessary for effective targeted instruction, which is essential for closing reasoning gaps.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The combination of machine learning, especially K-means clustering, and educational theory, such as Bloom's taxonomy, results in electronic-high-scale, multi-evidence, personalized clinical training. This is another theorem on how machine learning enables teaching and individual learning by a student in various cognitive domains.</p>\\n </section>\\n </div>\",\"PeriodicalId\":15997,\"journal\":{\"name\":\"Journal of evaluation in clinical practice\",\"volume\":\"31 5\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of evaluation in clinical practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jep.70250\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.70250","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Improving Clinical Reasoning Skills With Machine Learning K-Means Algorithm
Purpose
The enhancement of clinical reasoning is crucial in health sciences education for producing skilled practitioners. This study explores whether machine learning, particularly the K-means clustering algorithm, can detect technical and conceptual errors occurring while students are engaged in problem-solving. The study's main questions ask to what extent machine learning provides opportunities for a personalized approach towards educational interventions aimed at certain types of reasoning deficits.
Methods
A new method was proposed to classify students on clinical reasoning skills by integrating K-means clustering with Bloom's taxonomy. The approach gathered learners in clusters at different levels of cognition, starting from very basic cognitive processes of recalling factual knowledge to fully advanced clinical problematization. It was these reverse-engineered clusters that allowed the design of pedagogy that targeted the specific cognitive needs of the groups.
Results
Clustering using the K-means method provides valuable insights into performance patterns in student behaviour that extend beyond the limitations of conventional assessments. By placing students on a continuum of reasoning abilities, educators were able to take action to respond to individual learning paths. Such interventions could be applied in real time at the scale necessary for effective targeted instruction, which is essential for closing reasoning gaps.
Conclusion
The combination of machine learning, especially K-means clustering, and educational theory, such as Bloom's taxonomy, results in electronic-high-scale, multi-evidence, personalized clinical training. This is another theorem on how machine learning enables teaching and individual learning by a student in various cognitive domains.
期刊介绍:
The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.