“…In the HDR process, students in a small group are first presented with a patient's medical problem through a paper, video, or standardized patient before any study occurs in the area of the problem, and they generate multiple hypotheses to explain the causes of the patient's problem, conduct inquiries to test their hypotheses, and finally make a diagnostic decision and treatment plan for the patient (Barrows, 1985(Barrows, , 1994Barrows & Tamblyn, 1980). Thus, HDR is considered as a clinical reasoning model as well as a learning model (Barrows, 1985(Barrows, , 1994Barrows & Tamblyn, 1980;Groves, 2007;Hmelo, 1998;Patel, Arocha, & Zhang, 2005). Although PBL is expected to promote students' clinical reasoning skills, especially HDR skills, in theory when compared to traditional methods, there have been gaps between theoretical outcomes and those actually obtained in practice (Hung, 2011).…”