Clinical reasoning is a complex set of abilities healthcare students have to learn during their studies and continue to further develop in the workplace. Clinical reasoning encompasses the application of knowledge to collect and integrate information from various sources to arrive at a diagnosis and management plan for patients in a shared decision-making process. Due to its multifactorial nature and unconscious components it is both, difficult to learn and teach. A lack of clinical reasoning abilities is a primary cause of cognitive errors in patient care and threats to patient safety including unnecessary pain, treatments, or procedures for patients and increasing the costs of healthcare. In the European Union the number of errors and adverse events in healthcare is estimated at 8-12% of hospitalizations (WHO).
Despite the importance of clinical reasoning for the workplace of healthcare professionals and patient safety there is still a lack of structured and explicit teaching, learning, and assessment of clinical reasoning in healthcare education. Such a training can help to improve patient safety and reduce costs – two priorities of the EU Health policy.
Therefore, the aim of this project is to fill this gap and conceptualize, develop, evaluate, and disseminate a clinical reasoning curriculum in healthcare education for students and a train-the-trainer course for educators on how to teach clinical reasoning.

Events & Meetings

DID-ACT project meeting in Berne, Switzerland as hybride event in September 2021

On September 22nd and 23rd our partners from Berne hosted our project meeting in their beautiful city. As there are still some travel restriction in place in some countries and universities, it was planned as a hybride event. Partners and associate partners discussed the feedback to our interim report, progress of our curriculum development and the pilot implementations that are right about to start. We also had time to exchange ideas about research studies on interprofessional clinical reasoning. More information

Virtual annual conference of the German Medical Association (gma) September 2021

From September 16th to 18th the annual conference of the gma took place as a virtual event. DID-ACT partners disseminated the work and results of the curriculum development process (Work packages 3 and 4) to educators, students, and researchers from Germany, Austria, and Switzerland. More information about the conference (in German): GMA conference 2021 and the presentation of our work.

Virtual AMEE conference August 2021

The AMEE conference was held online from Aug 27th – 30th. The DID-ACT partners were present exciting topics from the project.

More information at the AMEE website and our blog post

  • Małgorzata Sudacka presented our work on identifying barriers of clinical reasoning teaching.
  • Dr. Samuel Edelbring presented about the “Development of a framework for a structured clinical reasoning curriculum: outcomes from a multiprofessional European project”.
  • Dr. Inga Hege presented study results about differences in the clinical reasoning process between female and male medical students.

Virtual Medical Education Forum May 2021

The 2nd international Medical Education Forum (MEF) took place as a virtual conference from May 4-6 2021, it had to be moved from 2020 due to the Corona pandemia. The exciting program included presentations on a variety of topics from DID-ACT experts.

More information

Conference on Cybernetic Modeling of Biological Systems 2021

Virtual AMEE conference 2020

DID-ACT kick-off February 2020

Publications & Resources

  • OUr identified barriers on developing a longitudinal clinical reasoning curriculum has been published in BMC Med Ed
  • The general needs analysis, which was the basis for this project has been published in Medical Teacher
  • More than 60 open access virtual patients in English and German have been created as part of a previous Marie-Curie Global Fellowship. The courses are freely available at https://crt.casus.net (Login with EduGain account). Part of the virtual patients have been adapted to the current Covid-19 situation.
  • A series on short video clips about clinical reasoning and diagnostic errors is available as aplaylist on YouTube

More information


Please contact us at info@did-act.eu if you have any questions or comments concerning the project.

Project coordinator: Inga Hege
Medical Education Sciences, University of Augsburg, Universitätsstr. 2, 86159 Augsburg, Germany

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