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This book is open access under a CC BY 4.0 license. This volume
describes and explains the educational method of Case-Based
Clinical Reasoning (CBCR) used successfully in medical schools to
prepare students to think like doctors before they enter the
clinical arena and become engaged in patient care. Although this
approach poses the paradoxical problem of a lack of clinical
experience that is so essential for building proficiency in
clinical reasoning, CBCR is built on the premise that solving
clinical problems involves the ability to reason about disease
processes. This requires knowledge of anatomy and the working and
pathology of organ systems, as well as the ability to regard
patient problems as patterns and compare them with instances of
illness scripts of patients the clinician has seen in the past and
stored in memory. CBCR stimulates the development of early,
rudimentary illness scripts through elaboration and systematic
discussion of the courses of action from the initial presentation
of the patient to the final steps of clinical management. The book
combines general backgrounds of clinical reasoning education and
assessment with a detailed elaboration of the CBCR method for
application in any medical curriculum, either as a mandatory or as
an elective course. It consists of three parts: a general
introduction to clinical reasoning education, application of the
CBCR method, and cases that can used by educators to try out this
method.
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