Here is a link https://indianpediatrics.net/sep2015/sep-787-794.htm to a well done review on dual process theories behind clinical reasoning and medical education outcomes.
The evaluation examples that have been used do reflect our current education system's focus on developing system 1 skills promoting competencies in a simple clinical problem solving skills format while system 2 competencies largely remain ignored?
However the practice ecosystem has evolved such that students may not be able to linearly build on simple competencies when confronted with real illness scripts that are much more complex.
A way forward would be encouraging students to create better case based online learning portfolios to include complex real patient scripts?
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