Practice module

3. Explore clinical reasoning

Follow four clips from selecting an assessment through observing gait and discussing findings. Connect the student’s reasoning with evidence for the APP.

An educator observing a student and patient during an assessment conversation.

Use the spaces below for your reflections. Responses are not saved when you leave this page.

REFLECTION: Clinical Reasoning is a cyclical process – review the image and hyperlink below to assist with the next part of this module
Clinical Reasoning Cycle

This page shows a more detailed version of the CRC diagram.

Video 3

Choosing the assessment
  1. Why has the student chosen this aspect of physical performance to measure? (you may need to review a previous video)

    Which part of the clinical reasoning process does this relate to?

    Show answer
    Considering the patient’s situation

    Which part of the APP competencies can you measure after this short video?

    Show answer
    This scenario indicates that the student has chosen relevant physical and functional tasks to be included in the objective assessment based on the subjective assessment; these relate to items 7 and 8 in the APP
  2. Watch this video of the student assessing the patient’s gait.

    Video 4

    Observing gait

    Which part of the clinical reasoning process does this relate to?

    Show answer
    Collecting information

    The following are two short videos that show discussion with the supervisor.

    Video 5

    Discussing observations

    Which part of the clinical reasoning process does this relate to?

    Show answer
    Processing information and Identifying problems and Issues

    Video 6

    Interpreting findings

    Which part of the clinical reasoning process does this relate to?

    Show answer
    Identifying problems and Issues and determining what other information is required

    Which part of the APP competencies can you measure after this short video?

    Show answer
    This scenario indicates that the student has identified potential problems, and started to prioritise them is planning relevant objective assessment to gather more information; this relates to item 11 in the APP (go to drop box below)

    Use item 11 to assist you in recording the student’s performance in identification of problems.

    11. Identifies and prioritises patient's/client's problems. 0, 1, 2, 3, or 4 (rate the student’s performance only when you have enough evidence to make a judgement).
    generates a list of problems from the assessment
    justifies prioritisation of problem list based on knowledge and clinical reasoning
    collaborates with the patient/client to prioritise the problems
    considers patient’s/clients values, priorities and needs

SUMMARY TASK THREE: This activity is to assist you to relate clinical reasoning processes and the APP.

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4. Review intervention