title: Using functional magnetic resonance imaging to improve how we understand, teach, and assess clinical reasoning.
abstract: Clinical reasoning is essential to the practice of medicine. There have been many advances in the understanding of clinical reasoning and its assessment, yet current approaches have a number of important limitations. Functional magnetic resonance imaging (fMRI) is promising because it permits investigators to directly view the neuroanatomical changes that occur with thinking. In this article, we briefly review current approaches to assessing clinical reasoning, discuss the emerging role and utility of fMRI in understanding clinical reasoning, and suggest directions for future research, continuing education, and practice.
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Durning
authors.forename: Michelle
authors.initials: M
authors.lastname: Costanzo
authors.forename: Anthony R
authors.initials: AR
authors.lastname: Artino
authors.forename: Cees
authors.initials: C
authors.lastname: van der Vleuten
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Beckman
authors.forename: Eric
authors.initials: E
authors.lastname: Holmboe
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Roy
authors.forename: Lambert
authors.initials: L
authors.lastname: Schuwirth
mesh_terms: D002055:Burnout, Professional / Q000503:physiopathology; D002983:Clinical Competence; D003657:Decision Making / Q000502:physiology*; D059907:Functional Neuroimaging / Q000379:methods*; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D011594:Psychometrics; D012890:Sleep / Q000502:physiology; D013850:Thinking
keywords: assessment; clinical reasoning; evaluation-educational intervention; fMRI; innovative educational interventions