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The development of a case-based ITS for training in clinical medicine can be based upon the approach of

A learning style that lends itself for realization with an Intelligent Tutoring System (ITS) is case-based training. ITS contain expert knowledge and pedagogical knowledge, both of which facilitate training with a narrative storyline. Seemingly, a lot of case-based ITS don’t take approaches of cognitive science into account. An approach is described that suggests the transferability of insights of cognitive science research in clinical medicine to a case-based ITS. Two cognitive processes, i.e. the process of diagnostic reasoning and the process of general knowledge application, are observed in everyday clinical practice. The training of both processes should be supported in case-based ITS.