RT Journal
A1 Dhaliwal G
T1 THe mechanics of reasoning
JF JAMA
JO JAMA
YR 2011
FD September 7
VO 306
IS 9
SP 918
OP 919
DO 10.1001/jama.2011.1027
UL http://dx.doi.org/10.1001/jama.2011.1027
AB 
Students learn reasoning by listening to others reason. We teachers hope that clinical reasoning is on full display in clinics and wards, but frequently it is not. In the increasingly hectic clinical and educational environment, it is less common for the trainee to hear a more experienced clinician's distinct line of thought from the patient's first concern to conclusion. Moreover, since reasoning transpires largely at the subconscious level, it can be difficult for experienced physicians to slow down and unpack their internal dialogue. Students are left to pick up reasoning in bits and pieces and figure out their own way to “connect the dots” when faced with a patient.