Fundamentals of Clinical Reasoning

Faculty

Faculty of Business Management and Social Sciences

Version

Version 1 of 20.06.2025.

Module identifier

22B1922

Module level

Bachelor

Language of instruction

English

ECTS credit points and grading

5.0

Module frequency

only summer term

Duration

1 semester

 

 

Brief description

Clinical casuistry will be used to review and discuss various theories and treatment models used in physical therapy. Clinical reasoning strategies are discussed, as well as forward and backward reasoning. Concepts such as (meta)cognition and pattern recognition will be introduced. Afterwards, clinical reasoning strategies are applied again with the help of casuistics, considering the hypothesis categorization: pathobiological mechanisms, sources, ICF, contributing factors, precautions, contraindications, prognosis and management.

Teaching and learning outcomes

The current state of clinical decision-making is applied to everyday practice from the perspective of implicit theory formation. The basic science of clinical decision-making on individual patients based on evidence-based practice. Clinical reasoning models with emphasis on forward and backward reasoning and the implications for everyday professional decisions. Strategies in clinical reasoning; (meta-)cognition, knowledge, hypothetico-deductive reasoning and pattern recognition; hypothesis generation and analysis of hypotheses using casuistics.

Overall workload

The total workload for the module is 150 hours (see also "ECTS credit points and grading").

Teaching and learning methods
Lecturer based learning
Workload hoursType of teachingMedia implementationConcretization
45SeminarPresence or online-
Lecturer independent learning
Workload hoursType of teachingMedia implementationConcretization
105Preparation/follow-up for course work-
Graded examination
  • Oral presentation, with written elaboration or
  • Presentation or
  • Project Report, written
Remark on the assessment methods

The selection of the graded examination types from the given options is the responsibility of the respective teacher. In doing so, he/she will adhere to the respective valid study regulations.

Exam duration and scope

For the types of examinations permitted in the module, the following information on the scope or duration applies in each case: see the respective valid study regulations

  • Presentation: approx. 20-25 minutes
  • Talk: approx. 20-40 minutes, accompanying paper: approx. 5-10 pages
  • Written project report: about 3000-4000 words.

The requirements are specified in the respective course.

Recommended prior knowledge

none

Knowledge Broadening

Students who have successfully completed this module will...

  • define the various clinical reasoning strategies including hypothesis categories.
  • they assign pathobiologic mechanisms, sources, ICF, contributing factors, precautions, contraindications, prognosis, and management to a case-specific basis.
  • represent diversity dimensions (e.g. gender and gender identity, age, social origin, ethnicity and nationality, sexual orientation, religion and belief, physical and mental ability) as a significant influencing factor in case understanding in the therapeutic process.

Knowledge deepening

Students who have completed this module will...

  • integrate their knowledge regarding various physiotherapeutic cases with the support of casuistics from daily practice.
  • discuss general contributing factors (yellow flags) and contraindications (red flags) of the neuromusculoskeletal system.

Knowledge Understanding

Students who have successfully completed this module will...

  • analyze a simple case through neuromusculoskeletal pattern recognition.
  • verify hypotheses in the context of further physical examination and management.
  • challenge evidence-based knowledge using the PICO scheme.

Application and Transfer

Students who have successfully completed this module will... 

  • analyze common theories and treatment models, as well as clinical reasoning strategies, and are able to apply them to clinical practice.
  • reflect on individual, cultural, social, and group diversity in order to integrate it into their clinical reasoning process.

Communication and Cooperation

Students who have successfully completed this module will...

  • communicate the clinical procedures considering Clinical Reasoning strategies to other groups of people.
  • present their clinical reasoning process from their own clinical practice in a case-specific manner.

Literature

  • Hengeveld, E Clinical Reasoning. Lernmodul aus Hochschule für Gesundheit, www.hochges.de
  • Von Piekartz H, Jones M Clinical Reasoning- Grundlagen für die Untersuchung und Behandlung der kraniofaziale Region in kraniofazialer Dysfunktion und Schmerzen, H. von Piekartz (Herausg.) 2001,187-217.
  • Edwards B et al. Clinical Reasoning Strategies in Physical Therapy. Vol. 84, No. 4, April (2004) 312-330
  • Higgs J, Jones M Clinical Reasoning in the health profession 4th Edition. March 2016, Oxford

Linkage to other modules

This module is closely related to the module "Advanced Clinical Reasoning" which follows in the 5th semester and provides basic knowledge for this module.

Applicability in study programs

  • Physiotherapy
    • Physiotherapy B.Sc. (01.03.2025)

    Person responsible for the module
    • Tampin, Brigitte
    Teachers
    • Unknown person
    • Armijo-Olivo, Susan
    • Möller, Dirk