Clinical Reasoning Assessment

The assessment of clinical reasoning in physiotherapy attempts to measure “the skill, process, or outcome…where both clinicians and physiotherapists observe, collect, and understand DATA to diagnose and treat patients” (Daniel et al. 2019).

As part of PETRHA+ we have created the PETRHA SCORE to assess the performance of each student or physiotherapist. It consists of two elements:

1. The resolution of a clinical case: This case is specific to each specialty and exclusive for evaluation purposes. The case will be played in the serious game platform PETRHA.

  • Pediatric physiotherapy
  • Cardiorespiratory physiotherapy
  • Neurological physiotherapy
  • Musculoskeletal physiotherapy
  • Testing time: 30-45 mins
  • After the resolution the player will have information on his overall performance in the different parts of the clinical case resolution:
    • – Research: Patient data + Interview + Clinical examination
    • – Diagnosis
    • – Objectives of the treatment


2. A clinical reasoning evaluation questionnaire: It is based on the clinical case previously carried out in the serious game PETRHA:

  • The questionnaire will be done on a Google Form of 41 questions.
  • Administration time: 15-20 min
  • All students are evaluated with the questionnaire in relation to the same clinical case of the same specialty. To do this, a clinical case of the serious game PETRHA is presented before the questionnaire as a context so that the students can situate themselves beforehand (Bordage et al. 1990; Kicklighter et al. 2016).
  • The questionnaire provides information on the overall performance of the student in relation to clinical reasoning.


The average of these two components of the score (clinical case and questionnaire) will constitute the PETRHA SCORE of clinical reasoning for that student/physiotherapist at that time and in that particular specialty.


Download the report on Clinical Reasoning Assessment

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