<?xml version="1.0" encoding="iso-8859-1" standalone="no"?>
<!DOCTYPE GmsArticle SYSTEM "http://www.egms.de/dtd/2.0.34/GmsArticle.dtd">
<GmsArticle xmlns:xlink="http://www.w3.org/1999/xlink">
  <MetaData>
    <Identifier>25gma250</Identifier>
    <IdentifierDoi>10.3205/25gma250</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-25gma2502</IdentifierUrn>
    <ArticleType>Meeting Abstract</ArticleType>
    <TitleGroup>
      <Title language="en">Leveraging large language models to enhance clinical reasoning education</Title>
    </TitleGroup>
    <CreatorList>
      <Creator>
        <PersonNames>
          <Lastname>Papan</Lastname>
          <LastnameHeading>Papan</LastnameHeading>
          <Firstname>Cihan</Firstname>
          <Initials>C</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Hospital Bonn, Institute for Hygiene and Public Health, Bonn, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="yes">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Kamboj</Lastname>
          <LastnameHeading>Kamboj</LastnameHeading>
          <Firstname>Ocima</Firstname>
          <Initials>O</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Hospital Bonn, Institute for Hygiene and Public Health, Bonn, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Landsberg</Lastname>
          <LastnameHeading>Landsberg</LastnameHeading>
          <Firstname>Marek</Firstname>
          <Initials>M</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Hospital Bonn, Institute for Hygiene and Public Health, Bonn, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Molitor</Lastname>
          <LastnameHeading>Molitor</LastnameHeading>
          <Firstname>Ernst</Firstname>
          <Initials>E</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Hospital Bonn, Institute of Medical Microbiology, Immunology and Parasitology, Bonn, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Ganschow</Lastname>
          <LastnameHeading>Ganschow</LastnameHeading>
          <Firstname>Rainer</Firstname>
          <Initials>R</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Hospital Bonn, Department of Pediatrics, Bonn, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Raichle</Lastname>
          <LastnameHeading>Raichle</LastnameHeading>
          <Firstname>Nico</Firstname>
          <Initials>N</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Bonn, Medical Faculty, Dean of Studies Office, Bonn, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Raupach</Lastname>
          <LastnameHeading>Raupach</LastnameHeading>
          <Firstname>Tobias</Firstname>
          <Initials>T</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Hospital Bonn, Institute of Medical Education, Bonn, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Mutters</Lastname>
          <LastnameHeading>Mutters</LastnameHeading>
          <Firstname>Nico T.</Firstname>
          <Initials>NT</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Hospital Bonn, Institute for Hygiene and Public Health, Bonn, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
    </CreatorList>
    <PublisherList>
      <Publisher>
        <Corporation>
          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
        </Corporation>
        <Address>D&#252;sseldorf</Address>
      </Publisher>
    </PublisherList>
    <SubjectGroup>
      <SubjectheadingDDB>610</SubjectheadingDDB>
    </SubjectGroup>
    <DatePublishedList>
      <DatePublished>20250908</DatePublished>
    </DatePublishedList>
    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
    </License>
    <SourceGroup>
      <Meeting>
        <MeetingId>M0626</MeetingId>
        <MeetingSequence>250</MeetingSequence>
        <MeetingName>Jahrestagung der Gesellschaft f&#252;r Medizinische Ausbildung (GMA)</MeetingName>
        <MeetingTitle></MeetingTitle>
        <MeetingSession>P-07 eTeaching &#47; eLearning 1</MeetingSession>
        <MeetingCity>D&#252;sseldorf</MeetingCity>
        <MeetingDate>
          <DateFrom>20250908</DateFrom>
          <DateTo>20250910</DateTo>
        </MeetingDate>
      </Meeting>
    </SourceGroup>
    <ArticleNo>P-07-10</ArticleNo>
  </MetaData>
  <OrigData>
    <TextBlock name="Text" linked="yes">
      <MainHeadline>Text</MainHeadline><Pgraph><Mark1>Background: </Mark1>Clinical reasoning (CR) is a critical skill for medical students to develop in order to provide high-quality patient care and reduce error rates. CR is a complex cognitive process involving data collection, cue interpretation, data analysis, planning and implementing interventions, patient communication, and reflection on decision-making. The advent of large language models (LLMs) has opened new possibilities for education. At the Institute for Hygiene and Public Health at the University Hospital Bonn, we are developing a course on CR, specifically focused on antibiotic treatment and antimicrobial resistance, using an inverted classroom format and LLMs to enhance students&#8217; reasoning skills.</Pgraph><Pgraph><Mark1>Methods: </Mark1>In this e-learning course, students are introduced to various reasoning strategies and common biases. Virtual Patients (VPs), which are effective tools for teaching CR, have been integrated into the course. Human-curated VPs are hosted on the eCampus platform, allowing students to practice their skills. We use LLMs to generate virtual patient vignettes for student interaction. These AI-generated vignettes are reviewed by an interdisciplinary expert panel. The chat capabilities of LLMs are leveraged to simulate Patient-Doctor and Doctor-Doctor interactions, which are crucial for clinical reasoning. A feasibility study is being conducted to evaluate whether LLMs can function as tutors, testing students&#8217; reasoning abilities, providing feedback, and assessing their performance.</Pgraph><Pgraph><Mark1>Results: </Mark1>The development of the course began in 2024. Initial results and materials will be presented at the GMA annual conference in 2025.</Pgraph><Pgraph><Mark1>Discussion: </Mark1>LLMs have the potential to transform clinical reasoning education by simulating realistic medical interactions and providing personalized feedback, thereby enhancing decision-making skills in a scalable and adaptive manner. This approach offers a pathway for medical education to better meet the needs of individual learners, especially in complex decision-making contexts like clinical reasoning</Pgraph></TextBlock>
    <Media>
      <Tables>
        <NoOfTables>0</NoOfTables>
      </Tables>
      <Figures>
        <NoOfPictures>0</NoOfPictures>
      </Figures>
      <InlineFigures>
        <NoOfPictures>0</NoOfPictures>
      </InlineFigures>
      <Attachments>
        <NoOfAttachments>0</NoOfAttachments>
      </Attachments>
    </Media>
  </OrigData>
</GmsArticle>