Case scoring in DDx is designed to evaluate both knowledge and the decision-making process behind a learner’s choices. In Standard scoring, learners are assessed on multiple-choice questions and key findings, focusing on accuracy and content mastery. In contrast, Clinical Reasoning scoring emphasizes the learner’s thought process, evaluating how they gather information, prioritize differentials, and adjust decisions as new data becomes available. This approach aligns with how clinical reasoning is defined in medical education: the process of collecting and interpreting patient information to guide diagnostic and management decisions.

The attached PDF provides detailed guidance on how each scoring model is applied, when to use each approach, and how faculty can interpret results to support learner development.