title: Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs.
abstract: Assessment of an emergency physician (EP)'s diagnostic reasoning skills is essential for effective training and patient safety. This article summarizes the findings of the diagnostic reasoning assessment track of the 2012 Academic Emergency Medicine consensus conference "Education Research in Emergency Medicine: Opportunities, Challenges, and Strategies for Success." Existing theories of diagnostic reasoning, as they relate to emergency medicine (EM), are outlined. Existing strategies for the assessment of diagnostic reasoning are described. Based on a review of the literature, expert thematic analysis, and iterative consensus agreement during the conference, this article summarizes current assessment gaps and prioritizes future research questions concerning the assessment of diagnostic reasoning in EM.
authors.affiliation: Division of Emergency Medicine, University of Washington School of Medicine, Seattle, USA. ilgen@u.washington.edu
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Ilgen
authors.forename: Aloysius J
authors.initials: AJ
authors.lastname: Humbert
authors.forename: Gloria
authors.initials: G
authors.lastname: Kuhn
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Hansen
authors.forename: Geoffrey R
authors.initials: GR
authors.lastname: Norman
authors.forename: Kevin W
authors.initials: KW
authors.lastname: Eva
authors.forename: Bernard
authors.initials: B
authors.lastname: Charlin
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sherbino
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D003245:Consensus Statements as Topic; D004521:Educational Measurement / Q000379:methods*; D004635:Emergency Medicine / Q000193:education*; D006801:Humans