Health Science Reasoning Test

Insight Asssessment Health Science Reasoning Test (HSRT)
Health Science Reasoning Test

The Health Sciences Reasoning Test (HSRT) measures all the core reasoning skills needed for reflective decision-making (clinical reasoning) and provides valid and reliable data on the thinking skills of individuals and of groups. The HSRT is an assessment of the critical thinking skills needed by health sciences students as they develop their clinical reasoning skills. HSRT is used across the health science disciplines, and its OVERALL score can be bench-marked to specific percentile comparisons. HSRT is used widely for admissions, advising and retention, studies of curriculum effectiveness, accreditation, and the documentation of student learning outcomes.


Domain: The HSRT assesses reasoning skills, independent of clinical practice skills or health care content knowledge. As a result, applicant scores can be directly compared to graduating student scores to determine cohort gains in critical thinking skills.

Population: HSRT is the most widely used version, is calibrated for 2YR college, undergraduate and graduate level health science students across the health science disciplines.  A version of HSRT (HSRT-AD) is tailored for 2-YR and certificate level programs.

HSRT Plus is a version of HSRT calibrated for high performing undergraduate and graduate level samples

Administration: Administer at any time, in any location with our user-friendly, encrypted, online, multi-lingual interface.

Support Materials: The User Manual includes all needed information about administering the HSRT and interpreting individual and group scores.


  • HSRT – 55 minutes timed administration; 38 items
  • HSRT Plus – 60 minutes timed administration, 46 items

Deliverables: Group graphics with statistical summary of scores; Excel spreadsheet of responses to all custom demographic questions and all scores for each person tested; Optional individual score reports for administrators and/or test takers.

  • Results Reported with a brief statement of what each metric represents:
  • OVERALL Critical Thinking Skills– Sustained use of critical thinking to form reasoned judgments
  • Analysis – Accurate identification of the problem and decision-critical elements
  • Interpretation – Discovering and determining significance and contextual meaning
  • Inference – Drawing warranted and logical conclusions from reasons and evidence
  • Evaluation – Assessing credibility of claims and the strength of arguments
  • Explanation – Providing the evidence, reasons, assumptions, or rationale for judgments and decisions
  • Induction – Reasoned judgment in ambiguous, risky, and uncertain contexts
  • Deduction – Reasoned judgment in precisely defined, logically rigorous contexts
  • Numeracy – Sustained use of critical thinking skills in quantitative contexts (quantitative reasoning)

Scoring: All HSRT metrics are scored on a 100-point scale with a corresponding qualitative rating (Superior, Strong, Moderate, Weak, Not Manifested). HSRT Plus scores are reported in the 50-112 range with corresponding qualitative ratings (Exceptional, Superior, Strong, Moderate, Weak, Not Manifested).

Percentile Scores: Population comparison percentile scores (external validity criterion) are available for HSRT and HSRT Plus:

  • Graduate USA: Dentistry, Medicine, Nursing, Occupational Therapy, Osteopathic Medicine, Pharmacy, Physician Assistant, Physical Therapy, Health Sciences
  • Undergraduate USA: Allied Health, Dental Hygiene, Nursing, Occupational/Physical Therapy, Pharmacy

Optional Custom Questions: At no additional cost clients can add up to ten client-specific custom descriptive survey questions to the assessment profile to enable sub-group reports.

Culturally Competent Translations:

  • HSRT: English, Arabic, Chinese Simplified, Chinese Traditional, Dutch, Farsi, French, Korean, Malay, Norwegian, Portuguese, and Spanish languages.
  • HSRT Plus: English, French

License to administer the HSRT: sold globally to health sciences public and private educational programs and institutions, NIH, RWJ, NSF, DOD, and other grant funded Projects, doctoral dissertation scholars; and other government and agency level entities.

Comprehensive assessment support services are available to not-for-profit educational organizations, government agencies, NGOs, dissertation scholars, and funded research clients.

Starting with an initial consultation to learn about your project, our experienced assessment specialists support your project in multiple ways, all included with your purchase of account setup and assessment use licenses. 

  • Instrument selection: We help the client find the academic assessment instrument(s) which best fits the educational level and broad subject matter area of the individuals to be assessed.
  • Administration strategies: Clients can keep test takers anonymous or use personal identifiers; sampling methods can measure an aggregated group profile without testing everyone.
  • Privacy Protection: We assist the client with privacy protection strategies, including, if needed, completely anonymous double-blind assessments.
  • Assessment logistics: We help clients assess program applicants onsite or remotely, gather pretest/post-test learning outcomes data, and generate individual or group logins.
  • Introducing client-specific custom questions: Clients can enable organizing, managing, and analyzing the assessment data that they plan to collect by introducing up to ten client-designed demographic profile questions. We assist clients with this process.
  • Client assessment administration setup: We orient the client to the use of their assessment administration interface by walking them through the processes of creating a testing assignment, including designating the start and end dates and choosing whether to display on-screen assessment results to the individual test-taker.
  • Report Generation: We orient clients on the use of the online report generation tool that produces customized group reports, aggregating and disaggregating data by the demographic variables they have collected (e.g., Training group, admission cohort, school, program, or any other custom demographic data that the client may have included).
  • 24/7/365 emergency technical support for our client testing administrators.

We demonstrate how easy it is to administer assessments even to very young students using our intuitive, browser-based, multilingual online testing system on almost any device: computer, tablet, or smartphone.

Preview Packs enable future clients to experience the intended assessment tool in exactly the same way it will be used in their planned project. The user manual and two logins are included.


HSRT score metrics: OVERALL Reasoning Skills (holistic score for critical thinking skills), Analysis, Interpretation, Evaluation, Explanation, Inference, Deduction, Induction and Numeracy (eight cognitive skill scores to focus future development and training). Items are drawn from a scientifically developed and tested item pool.

OVERALL Reasoning Skills: 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.

Analysis: 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: 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.

Evaluation: 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. 

Inference: 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.

Explanation: 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. 

Induction: 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.

Deduction: 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.

Numeracy: 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) Report Package includes an individual test-taker report for each person assessed and group summary reports for each group and sub-group in the sample.

Reports are generated immediately after the conclusion of testing and are available for clients to download, making real time assessment possible. Read more about how our customer support specialists work with clients to select their reporting options on our Services tab or contact us for a consultation.

Group analytics include:Images from Insight Assessment Group Reports

    • Clients can generate and download Excel spreadsheet files of all scores (OVERALL, Percentile ranking and all cognitive score metrics). At the option of the client, these also include the responses to custom demographic questions added by the client to the assessment profile, and percentile scores corresponding to the external comparison group selected by the client.
    • Presentation-ready tables and graphic representations of the score distribution for OVERALL critical thinking skills and for the additional cognitive skill metrics.
    • Customers who have added custom demographic questions can generate sub-group reports for these variables, or for specific testing sessions or time periods.   

Optional Individual Test-Taker Reports include:Sample report showing Individual report on critical thinking attributes test (CCTDI)

    • An overall score of critical thinking skills (OVERALL Score). OVERALL is reported on a 100-point scale accompanied by a qualitative rating (Superior, Strong, Moderate, Weak, Not Manifested), and a comparison percentile score.
    • Scores for each cognitive skill metric. These metrics are scored on a 100-point scale and are accompanied by a categorical interpretation of the strength of the score indicating areas of strength and areas for future development.
    • The Individual Test Taker Report can be pushed to an email address of the client’s choosing (for example, to an admissions office email, institutional assessment email, dean’s office email, etc.).
    • The client controls whether individual reports are made available to the test-taker.

Companion Mindset Assessments

Engaging clinical problems and making critically important, time-limited decisions relies on both reasoning skills and habits of mind. For a complete assessment of critical thinking, it is recommended that skills and mindset be included to assess whether a person is both ‘willing and able’ to think well.

Need to expedite your project?  We can have your first online testing assignment available for your students within 24 hours. Contact us today or get started by calling 650-697-5628 and speaking with one of our assessment specialists today.

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