• Silvia Sovaila, Adrian Purcarea, Antoine Froissart, Brigitte Ranque, Pierre Kieffer, Emmanuel Andres, Cecile Goujard, Jean-Christophe Weber, Jean-François Bergmann, Stephane Gayet, Brigitte Granel, and Anne Bourgarit.
• Internal Medicine Department, Civil Hospital, University Hospital of Strasbourg, Strasbourg, France.
• J Med Life. 2020 Apr 1; 13 (2): 183-186.

AbstractClinical reasoning is the cornerstone of medical practice, and achieving this competence depends on a large number of factors. Internal medicine departments provide junior doctors with plentiful and varied patients, offering a comprehensive basis for learning clinical reasoning. In order to evaluate the usefulness of an early rotation at internal medicine departments, we compared, via script concordance tests, the evolution of residents' clinical reasoning after an initial internal medicine rotation compared to rotations through other medical specialties. Twenty-two residents were tested after six months of their internal medicine rotation and compared to twenty-five residents that had the first rotation in another specialty (control). We showed a significant difference in the improvement of the script concordance tests scores (p=0.015) between the beginning and the end of their first rotation between the internal medicine and the control groups, and this implies the lower improvement of clinical reasoning skills and spontaneous learning slope of the junior doctors in other departments.©Carol Davila University Press.

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