Health Sciences Reasoning Test (HSRT)

Health Sciences Reasoning Test (HSRT)

Insight Asssessment Health Science Reasoning Test (HSRT) Measure what matters: critical thinking skills and mindset Sample report image showing group performance on Overall critical thinking Sample report showing group performance on HSRT Insight Assessment critical thinking tests available in Arabic, Chinese-Simplified, Chinese-Traditional, Dutch, English, Farsi, Finnish, French, Greek, Hebrew, Hungarian, Indonesian, Italian, Japanese, Korean, Malay, Norwegian, Portuguese, Russian, Spanish, Thai, Turkish & Vietnamese translations Brown paper background with a strip of paper torn to reveal the words PREVIEW
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The Health Sciences Reasoning Test (HSRT) measures high-stakes reasoning and decision-making processes. The HSRT is specifically calibrated for trainees in undergraduate and graduate health sciences education. Scores on this instrument are predictive of successful professional licensure and high clinical performance ratings.


Poorly reasoned decisions can have major consequences in health sciences.  Published research places critical thinking at the very heart of diagnostic reasoning and the development of new clinical knowledge. The HSRT is specifically designed to assess the critical thinking skills of health science students.

Were you looking for critical thinking assessment of practicing health sciences professionals?  Click here for INSIGHT Health

Insight Assessment’s Health Sciences Reasoning Test is used worldwide at top-ranking health science educational programs and medical centers for measuring critical thinking skills in students and practicing professionals.

  • HSRT is the assessment of choice for educational research and training  evaluation programs focused on clinical reasoning
  • HSRT is used by all health science specialties and is available in culturally competent valid translations (see language options).
  • HSRT assists clients with benchmarking scores for admissions, learning outcomes assessment, program evaluation, and accreditation self-reports.

HSRT has a variety of forms calibrated for graduate level, undergraduate level and associate degree/certificate programs. The HSRT-AD is designed for 2 year programs. HSRT Plus can be used to assess critical thinking skills in highly selective graduate level programs. Call us at 650-697-5628 to learn more.

HSRT Overview

Based on over 40 years of Insight Assessment’s research into critical thinking measurement, the HSRT is a multiple-choice formatted assessment meant to be  administered in a 50 minute setting.

  • HSRT questions range in their difficulty and complexity. They are set in recognizable clinical and professional practice contexts.  Any specialized information needed to respond correctly is provided in the question. No health science knowledge is required.
  • The HSRT invites test-takers to apply their skills in a variety of different scenarios. Information is presented in text and as diagrams.  Test-takers must make interpretations, analyze information, draw warranted inferences, identify claims and reasons, and evaluate the quality of the arguments presented.
  • Questions are multidimensional and interrelated, so that individual and group test results provide meaningful insights into specific critical thinking skills.

Health Sciences Reasoning Skills Test Scores

The HSRT provides an overall score for critical thinking and scale scores to assist trainers or instructors in focusing curricula and training to address particular skills gaps in both individuals and groups.

The HSRT Overall Reasoning Skills score targets the strength or weakness of a test-taker’s skill in making reflective, reasoned judgments about what to believe or what to do.  Scores are also reported for: Analysis, Interpretation, Inference, Evaluation, Explanation, Induction, Deduction and Numeracy.

HSRT’s score package includes an optional population percentile, specific to the practice discipline and educational level.

Test Administration

Insight Assessment offers the industry’s most complete and cost-effective array of testing options. Secure, encrypted online testing is available 24x7x365 in multiple languages.   Available via a browser or an app, assessments can be accessed on virtually any device.

The test-taker’s data is encrypted and the online interface is easy to use and flexible. Tests can be assigned to be taken within any window of time.  Each test is scored as soon as the test-taker hits the submit button.

Tests are available any time, anywhere, whether directly on your site or multiple sites, at test centers or sent to individual devices.

Highly Recommended Companion Assessment

Engaging problems and making decisions using critical thinking involves both skills and habits of mind.

For a complete assessment of a test-taker’s critical thinking, it is recommended that dispositions (also referred as having a lifelong learning mindset) as well as skills should be measured. Using companion assessments results in a full measurement of whether a test taker is both “willing and able” to think well.

We recommend that the HSRT should be taken in conjunction with the California Critical Thinking Disposition Inventory (CCTDI).

Critical Thinking Online Training

Next steps?  The HSRT reveals higher education applicants who are proficient along with those requiring further development in critical thinking skills.  The Keys & Strategies Critical Thinking Course Pack is available for students requiring intervention to gain this necessary competency for study and the future of work.  In addition to 20 modules, proven to build their critical thinking skills and their lifelong learning mindset to apply those skills, a post-course assessment is included to measure both individual and group improvement.

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Learn how health science administrators  are using this powerful predictor of academic and professional success, in undergraduate and graduate student admissions processes.

The Health Sciences Reasoning Test returns objective scores on these scales: Analysis, Interpretation, Evaluation, Explanation, Inference, Deduction, Induction, Numeracy and an OVERALL reasoning skill score.

HSRT Scale Descriptions

Reasoning Skills Overall

The Reasoning Skills Overall score describes overall strength in using reasoning to form reflective judgments about what to believe or what to do. To score well overall, the test taker must excel in the sustained, focused and integrated application of core thinking skills measured on this test, including analysis, interpretation, inference, evaluation, explanation, induction and deduction. The Overall score predicts the capacity for success in educational or workplace settings which demand reasoned decision making and thoughtful problem solving.


Analytical skills are used to identify assumptions, reasons, themes, and the evidence used in making arguments or offering explanations. Analytical skills enable us to consider all the key elements in any given situation, and to determine how those elements relate to one another. People with strong analytical skills notice important patterns and details.  People use analysis to gather the most relevant information from spoken language, documents, signs, charts, graphs, and diagrams.


Interpretation is the process of discovering, determining, or assigning meaning.  Interpretation skills can be applied to anything, e.g. written messages, charts, diagrams, maps, graphs, memes, and verbal and non-verbal exchanges. People apply their interpretive skills to behaviors, events, and social interactions when deciding what they think something means in a given context.


Inference skills enable us to draw conclusions from reasons, evidence, observations, experiences, or our values and beliefs.  Using Inference, we can predict the most likely consequences of the options we may be considering. Inference enables us to see the logical consequences of the assumptions we may be making. Sound inferences rely on accurate information. People with strong inference skills draw logical or highly reliable conclusions using all forms of analogical, probabilistic, empirical, and mathematical reasoning.


Evaluative reasoning skills enable us to assess the credibility of sources of information and the claims they make.  We use these skills to determine the strength or weakness of arguments.  Applying evaluation skills we can judge the quality of analyses, interpretations, explanations, inferences, options, opinions, beliefs, ideas, proposals, and decisions.  Strong explanation skills can support high-quality evaluation by providing the evidence, reasons, methods, criteria, or assumptions behind the claims made and the conclusions reached. 


Explanation is the process of justifying what we have decided to do or what we have decided to believe.  People with strong explanation skills provide the evidence, methods, and considerations they actually relied on when making their judgment. Explanations can include our assumptions, reasons, values, and beliefs. Strong explanations enable others to understand and to evaluate our decisions. 


Deductive reasoning is rigorously logical and clear cut. Deductive skills are used whenever we determine the precise logical consequences of a given set of rules, conditions, beliefs, values, policies, principles, procedures, or terminology. Deductive reasoning is deciding what to believe or what to do in precisely defined contexts that rely on strict rules and logic.  Deductive validity results in a conclusion which absolutely cannot be false, if the assumptions or premises from which we started all are true. Deductive validity leaves no room for uncertainty. That is, unless we decide to change the very meanings of our words or the grammar of our language.


Inductive reasoning relies on estimating likely outcomes. Decision making in contexts of uncertainty relies on inductive reasoning. Inductive decisions can be based on analogies, case studies, prior experience, statistical analyses, simulations, hypotheticals, trusted testimony, and the patterns we may recognize in a set of events, experiences, symptoms or behaviors. Inductive reasoning always leaves open the possibility, however remote, that a highly probable conclusion might be mistaken. Although it does not yield certainty, inductive reasoning can provide a solid basis for confidence in our conclusions and a reasonable basis for action.


Numeracy refers to the ability to make judgments based on quantitative information in a variety of contexts. People with strong numeracy can describe how quantitative information is gathered, manipulated, and represented textually, verbally, and visually in graphs, charts, tables and diagrams. Numeracy requires all the core critical thinking skills. Numeracy includes being thoughtfully reflective while interpreting the meaning of information expressed in charts, graphs, or text formats, analyzing those elements, drawing accurate inferences from that information, and explaining and evaluating how those conclusions were reached. 

The Health Science Reasoning Test (HSRT) has been designed to deliver high quality objective metrics on the strengths and weaknesses of key aspects of thinking.

HSRT reports deliver individual and group results in a presentation ready format.   Each report includes a wide range of statistical and demographic information about individuals and/or test-taker groups. Test-taker scores and group summaries are presented with interpretative analysis by Insight Assessment measurement scientists.

The HSRT measures and reports on an array of reasoning skill scale scores: Total Score, Analysis, Interpretation, Inference, Evaluation, Explanation, Induction, Deduction and Numeracy.

Insight Assessment clients depend on the comprehensive data and analysis in an HSRT report to provide the insights needed to achieve their assessment goals.  Clients are currently using individual data for professional development, student or intern placement, hiring, advising, competency training. Group data is being used for new cohort assessment, outcomes assessment, demonstrating the quality of an educational or training program, demonstrating group proficiency, staff development, admissions and more.

Clients can customize their results package with additional analyses, graphics and interpretative text discussing your scores in relationship to your particular goals and objectives.

For further information:   Insight Assessment Reports and Analytics

To see a Sample HSRT Individual Report


Call us at 650-697-5628 or contact us today.

Comparison Percentiles Available for the HSRT

2-Year Undergraduate Program Comparison Percentiles

  • Dental Hygiene
  • Health Sciences Programs

4-Year Undergraduate Program Comparison Percentiles

  • Allied Health
  • Dental Hygiene
  • Health Sciences
  • Nursing
  • Occupational Therapy/Physical Therapy
  • Pharmacy

Graduate Program Comparison Percentiles

  • Dentistry
  • Health Sciences
  • Medicine
  • Nursing
  • Occupational Therapy
  • Osteopathic Medicine
  • Pharmacy
  • Physician Assistant
  • Physical Therapy
 Individual and group scores are provided for all Insight Assessment test takers. Different groups of test takers have very different performance levels and therefore their scores differ quite a bit on scientifically developed measures of cognitive ability. It is important to understand how your group of test takers compares to selected external comparison groups, for example, the population of comparable regional or national peer groups.

The reports for each Insight Assessment test instrument provide scores that can be benchmarked against a variety of external comparison groups so that our clients are able to evaluate the scores of individual test takers or of their entire group.  If you do not see what you are specifically looking for, contact us to discuss your needs with a testing specialist.

Please Contact Insight Assessment if you would like to learn more about the available individual and group  comparison percentiles for the HSRT.

Some of the current authorized translations of the Health Sciences Reasoning Test  (HSRT) are listed below. Insight Assessment is constantly working on expanding the multilingual capabilities of our products.  If you do not see what you are specifically looking for, please contact us to determine if it is available.

  • Arabic
  • Chinese Simplified
  • Chinese Traditional
  • Dutch
  • English
  • Farsi
  • Korean
  • Malay
  • Norwegian
  • Portuguese
  • Spanish

As a qualified purchaser, we offer the option of purchasing a preview of the assessment experience.

A preview provides you with one or more opportunities to view and experience the assessment from the perspective of the individual being assessed and to see the reporting options.

Your account representative will set up your preview of the instrument on mobile devices or on computers. The preview includes the profile page, an example of the assessment itself, and an example of the individual report that will be provided at completion of the assessment.

Each preview also includes a digital copy of the user manual and resource guide for the specific instrument you are viewing. User manuals provide:

  • a brief description of each metric being assessed by the instrument;
  • a description of how to interpret both individual and group assessment results;
  • a discussion of validity and reliability for the measures;
  • all necessary information about administration of the assessment;
  • many additional resources that we hope you will find useful for designing your assessment project.

Contact us to order a preview now, or receive your preview when you place your first order for assessments.


Request a price quote.

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