Clinical Reasoning: The Missing Core Competency in Physical Therapist Education and Practice
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Journal Article Clinical Reasoning: The Missing Core Competency in Physical Therapist Education and Practice Get access Jennifer A Furze, PT, DPT, PCS, FAPTA, Jennifer A Furze, PT, DPT, PCS, FAPTA Department of Physical Therapy, School of Pharmacy and Health Professions, Creighton University, Omaha, Nebraska, USA Address all correspondence to Dr Furze at: jenniferfurze@creighton.edu Search for other works by this author on: Oxford Academic Google Scholar Lisa Black, PT, DPT, Lisa Black, PT, DPT Department of Physical Therapy, School of Pharmacy and Health Professions, Creighton University, Omaha, Nebraska, USA Search for other works by this author on: Oxford Academic Google Scholar Amy W McDevitt, PT, DPT, OCS, Amy W McDevitt, PT, DPT, OCS Department of Physical Medicine and Rehabilitation, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA https://orcid.org/0000-0002-1794-8813 Search for other works by this author on: Oxford Academic Google Scholar Kara L Kobal, PT, DPT, Kara L Kobal, PT, DPT Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA Search for other works by this author on: Oxford Academic Google Scholar Steven J Durning, MD, PhD, MACP, Steven J Durning, MD, PhD, MACP Department of Medicine, Center for Health Professions Education, School of Medicine Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA Search for other works by this author on: Oxford Academic Google Scholar Gail M Jensen, PT, PhD, FAPTA Gail M Jensen, PT, PhD, FAPTA Department of Medicine, Center for Health Professions Education, School of Medicine Uniformed Services University of the Health Sciences, Bethesda, Maryland, USADepartment of Physical Therapy, School of Pharmacy and Health Professions, Creighton University, Omaha, Nebraska, USA Search for other works by this author on: Oxford Academic Google Scholar Physical Therapy, Volume 102, Issue 9, September 2022, pzac093, https://doi.org/10.1093/ptj/pzac093 Published: 04 July 2022 Article history Received: 01 February 2022 Revision received: 22 March 2022 Accepted: 08 June 2022 Published: 04 July 2022
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Cites
Clinical Reasoning in the Health Professions
Higgs, J., & Jones, M. A. (2000) · Cited by 920 · see citing works
National Study of Excellence and Innovation in Physical Therapist Education: Part 2—A Call to Reform
Jensen, G. M., Hack, L. M., Nordstrom, T., Gwyer, J., & Mostrom, E. (2017) · Physical Therapy · doi:10.1093/ptj/pzx062 · Cited by 160 · see citing works
Self-citationClinical Reasoning: De ning It, Teaching It, Assessing It, Studying It
Gruppen, L. D. (2017) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2016.11.33191 · Cited by 153 · see citing works
Clinical Reasoning in Physical Therapy: A Concept Analysis
Huhn, K., Gilliland, S. J., Black, L. L., Wainwright, S. F., & Christensen, N. (2018) · Physical Therapy · doi:10.1093/ptj/pzy148 · Cited by 136 · see citing works
Self-citationJensen, G. M., Nordstrom, T., Mostrom, E., et al. (2017) · Physical Therapy · doi:10.1093/ptj/pzx061 · Cited by 130 · see citing works
Self-citationClinical Reasoning as a Core Competency
Connor, D. M., Durning, S. J., & Rencic, J. J. (2020) · Academic Medicine · doi:10.1097/acm.0000000000003027 · Cited by 96 · see citing works
Self-citationChristensen, N., Black, L. L., Furze, J. A., Huhn, K., Vendrely, A., & Wainwright, S. F. (2016) · Physical Therapy · doi:10.2522/ptj.20150320 · Cited by 90 · see citing works
Self-citationExploration of Students’ Clinical Reasoning Development in Professional Physical Therapy Education
Furze, J. A., Black, L. L., Hoffman, J., Barr, J. B., Cochran, T. M., & Jensen, G. M. (2015) · Journal of Physical Therapy Education · doi:10.1097/00001416-201529030-00005 · Cited by 78 · see citing works
Self-citationCompetency-Based Education and Practice in Physical Therapy: It’s Time to Act!
Timmerberg, J. F., Chesbro, S. B., Jensen, G. M., Dole, R. L., & Jette, D. U. (2022) · Physical Therapy · doi:10.1093/ptj/pzac018 · Cited by 75 · see citing works
Self-citationPhysical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future
Furze, J. A., Tichenor, C. J., Fisher, B. E., Jensen, G. M., & Rapport, M. J. (2016) · Physical Therapy · doi:10.2522/ptj.20150473 · Cited by 66 · see citing works
Self-citationChesbro, S. B., Jensen, G. M., & Boissonnault, W. G. (2017) · Physical Therapy · doi:10.1093/ptj/pzx100 · Cited by 62 · see citing works
Self-citationPhysical Therapist Student Loan Debt
Jette, D. U. (2016) · Physical Therapy · doi:10.2522/ptj.20160307 · Cited by 36 · see citing works
Handbook of Teaching and Learning for Physical Therapists
Jensen, G. M., & Mostrom, E. (2012) · Medical Entomology and Zoology · Cited by 27 · see citing works
Self-citationSebelski, C. A., Hoogenboom, B. J., Hayes, A. M., et al. (2019) · Physical Therapy · doi:10.1093/ptj/pzz137 · Cited by 22 · see citing works
Osborne, R., Janson, C., Black, L. L., et al. (2019) · Physical Therapy · doi:10.1093/ptj/pzz142 · Cited by 19 · see citing works
Self-citationResidency Education: Is It Now or Never?
Hartley, G. W., Rapport, M. J., Osborne, R., Briggs, M. S., & Jensen, G. M. (2020) · Physical Therapy · doi:10.1093/ptj/pzaa225 · Cited by 19 · see citing works
Self-citationUnderstanding the Assessment of Clinical Reasoning
Rencic, J. J., Durning, S. J., Holmboe, E. S., & Gruppen, L. D. (2016) · Springer eBooks · doi:10.1007/978-3-319-30064-1_11 · Cited by 17 · see citing works
Self-citationPhysical Therapist Residency Competency-Based Education: Development of an Assessment Instrument
Harrington, K. L., Teramoto, M., Black, L. L., Carey, H., Hartley, G. W., Yung, E., Osborne, J., Goldberg, P., Tran, R. T., & Hillegass, E. A. (2022) · Physical Therapy · doi:10.1093/ptj/pzac019 · Cited by 17 · see citing works
Self-citationAmerican Physical Therapy Association
(1963) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1963.tb05008.x · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- Gruppen LD. Clinical reasoning: defining it, teaching it, assessing it, studying it. West J Emerg Med. 2017;18:4-7.
- Radcliffe TA, Durning SJ. Theoretical concepts to consider in providing clinical reasoning instruction. In: Trowbridge RL, Rencik JJ, Durning SJ, eds., Teaching Clinical Reasoning: ACP Teaching Medical Series. Philadelphia, PA: American College of Physicians; 2015: 13-17.
- ten Cate O, Durning SJ. Understanding clinical reasoning from multiple perspectives: a conceptual and theoretical overview. In: ten Cate O, Custers E, Durning S, eds., Principles and Practice of Case-based Clinical Reasoning Education. Innovation and Change in Professional Education. Cham, Switzerland: Springer; 2018: 35-46.
Cited by
Sorted by citations
Lindbäck, Y., Valeskog, K., Schröder, K., & Sonesson, S. (2025) · Journal of Medical Education and Curricular Development · doi:10.1177/23821205251378794 · Cited by 4 · see citing works
“8 Overreliance on GAI in medical education poses a risk of declining critical thinking and clinical decision-making skills.”
- Authors
- Furze, J. A., Black, L., McDevitt, A. W., Kobal, K. L., Durning, S. J., & Jensen, G. M.
- Affiliations
- Creighton University (US)
- University of Colorado Anschutz (US)
- University of Pittsburgh (US)
- Uniformed Services University of the Health Sciences (US)
- Venue
- Physical Therapy
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-07-04
- Volume
- 102
- Issue
- 9
- ISSN
- 0031-9023 (ISSN-L)
- 1538-6724
- OpenAlex
- W4283798185
- Cited by
- 16
- References
- 19
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 2 · 2023: 2
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Physical Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Rehabilitation › Musculoskeletal Disorders and Rehabilitation
- Keywords
- clinical reasoning, physiotherapy education, core competencies, clinical reasoning assessment, clinical reasoning instruction, physiotherapy practice
- MeSH terms
- Clinical Reasoning, Allied Health Personnel, Clinical Competence, Curriculum, Humans, Physical Therapy Specialty, Physical Therapists
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