Health AI Central
Peer-Reviewed Publication
Acad Med2026October 8, 2026Journal Article

Theory-informed redesign of clinical reasoning education in the era of generative artificial intelligence.

Verity E Schaye1, Andrew S Parsons2, Andrew P J Olson3, Raja-Elie E Abdulnour4, Michelle Daniel5
1Department of Medicine, New York University Grossman School of Medicine, New York, NY, USA.
2Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
3University of Minnesota Medical School, Minneapolis, MN, USA.
4Department of Medicine, Harvard Medical School, Boston, MA, USA.
5Department of Emergency Medicine, University of California, San Diego School of Medicine, La Jolla, CA, USA.
PubMed DOI

Abstract

Clinical reasoning is a foundational competency that develops over the course of training and comprises two sub-components. Diagnostic reasoning classifies a patient's condition and assigns a diagnostic label, whereas management reasoning weighs multiple defensible plans with consideration of patient preferences and contextual constraints. Clinical reasoning education has historically emphasized "…

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