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Review Open access Sep 2026

Validity considerations in programmatic assessment of clinical reasoning.

PROBLEM Clinical reasoning is a core competency in health professions education, but its assessment is challenging. Clinical reasoning is multifaceted, content- and context-dependent, and largely unobservable, and no single assessment can support a robust characterisation of a learner's clinical reasoning. Programmatic...

Christopher R. Runyon, L. Zwaan, Monica M. Cuddy et al. · 0 citations
Review Open access Sep 2026

State of clinical AI in 2026.

Clinical artificial intelligence (AI) has advanced rapidly, with frontier large language models now matching or exceeding physician performance on simulated diagnostic reasoning and clinical decision-support tasks. Yet adoption has outpaced the evidence base: fewer than 5% of cleared U.S. Food and Drug Administration (...

John Emmett Worth, Anastasia Perez, David Wu et al. · 1 citation
#artificial intelligence Preprint Sep 2026

Scaling Clinical Judgment to Evaluate Medical AI

Blinded physician evaluation has been considered by many to be the gold standard for assessing clinical reasoning in large language models (LLMs). This is difficult to scale; thus, prior studies typically rely on small physician panels, often from a single institution or specialty, which both limits the scientific ques...

Thomas A. Buckley, Zahir Kanjee, Peter G. Brodeur et al. · 0 citations

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