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September 28, 2025JAMA0 citations

Critical Thinking for 21st-Century Medicine—Moving Beyond Illness Scripts

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RSRichard M. SchwartzsteinAIAlexander A. Iyer

Key Points

  • Critical thinking enhances clinical reasoning in medicine, offering a more effective approach than traditional illness scripts.
  • The viewpoint emphasizes human pathophysiology as a crucial foundation for developing these critical thinking skills in clinicians.
  • Traditional illness scripts can restrict clinical reasoning, implying a need for innovative methods to empower medical practitioners.
  • Improved clinical reasoning may lead to better patient care and outcomes, suggesting that educational reforms in medicine are necessary.

Abstract

This Viewpoint explores how critical thinking based on the principles of human pathophysiology could improve clinicians’ clinical reasoning skills vs a more traditional illness script–based approach.

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Cite This Study

Schwartzstein et al. (2025) studied this question.

synapsesocial.com/papers/68d913b24ddcf71ba560c158https://doi.org/10.1001/jama.2025.14901
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