cSCAN Rounds

"Identifying learning difficulties in clinical reasoning for students' of health science"

In this talk I will report preliminary observations from a pilot study aimed at identifying areas of learning difficulty, such as students’ misconceptions or flaws in reasoning, when engaged in clinical diagnosis. Individual or pairs of participants (newly qualified speech and language therapists) were videotaped as they worked towards a diagnosis of a previously unseen patient. The patient’s case history was presented via a web-based teaching resource known as PATSy ( The talk will focus on the development of a coding scheme for analysing the verbal protocols and discuss some of the issues faced in developing a methodology for investigating students’ clinical reasoning skills. This work forms part of a 3-year, ESRC funded project to investigate the effect of vicarious learning on clinical reasoning in the domain of speech and language therapy.