Twelve tips for teaching expertise in clinical reasoning

BACKGROUND: Clinical reasoning is one of the most critical skills to teach to medical learners, yet clinician educators rarely receive adequate training on how to teach this topic. AIMS: To enhance clinician educators' ability to teach clinical reasoning. METHODS: I conducted a review of cognitive, medical decision making, and expertise theory literature to develop practical tips that could be applied to typical teaching encounters. RESULTS: Through the literature review, twelve tips were designed to provide a blueprint for teaching clinical reasoning on the wards or in the clinics. CONCLUSIONS: Teaching clinical reasoning is important and feasible. Teachers who explicitly teach problem solving and decision making may help learners to improve their diagnostic accuracy and treatment choices.