en Clinical Reasoning Debate Article Debate Article <p style="text-align: justify;">Most contemporary clinical reasoning tests typically assess non-automatic thinking. Therefore, a test is needed to measure automatic reasoning or pattern recognition, which has been largely neglected in clinical reasoning tests. The Puzzle Test (PT) is dedicated to assess automatic clinical reasoning in routine situations. This test has been introduced first in 2009 by Monajemi et al in the Olympiad for Medical Sciences Students.PT is an item format that has gained acceptance in medical education, but no detailed guidelines exist for this test&rsquo;s format, construction and scoring. In this article, a format is described and the steps to prepare and administer valid and reliable PTs are presented. PT examines a specific clinical reasoning task: Pattern recognition. PT does not replace other clinical reasoning assessment tools. However, it complements them in strategies for assessing comprehensive clinical reasoning.</p> Illness Script, Clinical Reasoning, Clinical Reasoning Assessment, Pattern Recognition. 1000 1004 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-1077&slc_lang=en&sid=1 Alireza Monajemi monajemi@ihcs.ac.ir 200319475328460025429 200319475328460025429 No Philosophy of Science Department, Institute for Humanities and Cultural Studies, Tehran, Iran. Minoo Yaghmaei yaghmaei.minoo@gmail.com 200319475328460025430 200319475328460025430 Yes Medical School, Shahid Beheshti University of Medical Sciences & School of Medical Education Sciences, Shahid Beheshti Univer-sity of Medical Sciences, Tehran, Iran.