Clinical Reasoning Learning (CRL) in Neurosurgery: Interns' Perceptions and Its Impact on Their Clinical Analysis Skills at CHU Batna, Algeria

Introduction. Clinical Reasoning Learning (CRL) is an active pedagogical method aimed at strengthening the decision-making and analytical skills of medical students. It is one of the modern teaching methods that is beginning to be implemented in Algeria. This study aims to assess the impact of Clinical Reasoning Learning (CRL) on the acquisition and development of problem-solving skills in clinical cases among a population of medical interns. Methods and Materials. We conducted a crosssectional descriptive observational study (satisfaction survey) in the Neurosurgery department at the University Hospital Center (CHU) of Batna, Algeria, during the 2023- 2024 academic year, from August 1, 2023, to October 31, 2023. A total of 30 interns were divided into three groups. The survey was conducted through a questionnaire administered after the CRL sessions. Results. 87% of interns had no prior training in CRL. 87% found the sessions relevant to medical training. 94% considered CRL sessions a source of clinical knowledge acquisition. 53% regarded CRL as the appropriate method for practical teaching. 60% rated the quality of teaching through CRL as very good. 66% were satisfied with the session atmosphere. Regarding the frequency of one CRL session per week, 40% were satisfied. 38% found the chosen topics interesting, while 8% were dissatisfied. During the initial CRL sessions: 33% were active, 27% confident, and 40% intimidated. During the final sessions: 94% were active and confident, while 7% remained stressed. 64% favored a theoretical presentation at the end of each session. 87% believed that CRL helps in memorizing information. 80% thought CRL improves patient interaction. 88.7% judged that CRL helps structure reasoning and establish diagnostic hypotheses. 93.05% considered that CRL prioritizes indications for paraclinical examinations. 76.52% reported having good clinical decision-making skills by the end of the sessions. Conclusion. Clinical Reasoning Learning (CRL) is an effective method for the practical training of medical interns. It is well-appreciated by interns and enhances their clinical problem-solving skills. Integrating CRL into medical education programs in Algeria, especially for medical interns, would be highly beneficial.