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Table 3 Mean scores and correlations between measures of clinical reasoning, knowledge and diagnostic choice

From: Online patient simulation training to improve clinical reasoning: a feasibility randomised controlled trial

Reasoning measure Groupa N Mean Scores (SD) Correlation coefficients
Self-reported clinical reasoning at baselineb Knowledge at baselinec Diagnostic choiced
Self-reported clinical reasoning skills     rse p rs p rs p
 Baseline I 122 83.1 (9.6)    0.17 0.057 −0.01 0.927
C 118 83.5 (8.8)    0.10 0.270 0.09 0.463
All 240 83.3 (9.2)    0.14 0.037* 0.04 0.663
 Time 1f I 99 84.1 (10.3)       
C 86 82.4 (9.0)       
All 185 83.3 (9.8)       
 Time 2g I 75 84.4 (9.8)       
C 65 82.0 (9.4)       
All 140 83.3 (9.7)       
Observed clinical reasoning skillsh
 Essential information identifiedi I 78 61.6% (17.6) −0.01 0.957 0.09 0.423 0.09 0.435
C 70 53.3% (15.8) 0.03 0.798 0.22 0.074 0.13 0.303
All 148 57.7% (17.2) 0.01 0.865 0.15 0.78 0.12 0.144
 Relevance of history takingj I 78 81.4% (10.5) 0.06 0.578 0.06 0.623 0.12 0.304
C 70 84.6% (10.6) 0.02 0.893 0.11 0.356 0.08 0.518
All 148 82.9% (10.6) 0.03 0.704 0.07 0.415 0.10 0.251
 Flexibility in diagnosesk I 78 3.2 (1.0) 0.01 0.919 0.17 0.137 0.01 0.933
C 70 3.0 (1.0) 0.09 0.439 0.04 0.772 0.23 0.054
All 148 3.1 (1.0) 0.05 0.542 0.11 0.186 0.12 0.137
  1. aIntervention (I) and Control group (C)
  2. bMeasured using the Flexibility in Thinking scale (Bordage et al. 1990)
  3. cMeasured by 12 multiple choice respiratory medicine questions
  4. dMeasured by whether the most important diagnosis was selected for a patient case
  5. ers denotes Spearman’s rank correlation coefficient
  6. fTime 1 = one week after registration
  7. gTime 2 = one month registration
  8. hMeasured by performance on a patient case delivered by eCREST to all students
  9. iPercentage of essential information from gathered from patient case out of possible essential information available
  10. jPercentage of relevant information from gathered from patient case out of all information student gathered
  11. kNumber of times changed diagnosis
  12. * indicates p ≤ 0.05