Background: Collaborative learning is an important pedagogical strategy which gained a huge interest in critical domains such as the medical field. However, to ensure the quality of this learning method, it is necessary to focus intention not only on the cognitive aspect but also on the social activities that represent an essential issue during collaborative learning sessions. Our objective in this study is to highlight the collaborative aspect in the group learning method of clinical reasoning. Methods: In this work, we have focused on cognitive studies that are interested in the clinical reasoning processes, while proposing a model dedicated to the design of collaborative clinical reasoning learning environment in synchronous mode. This model is primarily interested in social activities that have a strong influence on the collaborative learning effectiveness, and they are generally treated implicitly by basing on the improvisation and spontaneity of the learners group. Results: The research idea was embodied through a collaborative learning clinical reasoning environment based on Web 2.0 technologies. We chose this technology to benefit from its ease of use and from its technical performances that can significantly contribute to the development of the cognitive and social aspects in the collaborative learning environment. Conclusion: Our first contact with medical students showed us that they are appreciating this learning method. Indeed, to evaluate objectively our choices reliability, we plan to accomplish this research with a quantitative study based on real experiences with clinicians and medical students. The suggested study will allow us to collect the necessary lessons to work in depth on the relevant questions concerning the cognitive and social activities in the collaborative clinical reasoning learning.

In collaborative clinical learning field, several recent pertinent studies showed that gathering learners with their tutor still insufficient to improve students' learning quality and knowledge acquisition. Consequently, focusing attention on professional skills within a collaboration environment seems to be the most appropriate way to reach the wished learning objectives, particularly in a complex specialty such as medical diagnosis learning. In this paper, we firstly introduce the concept of medical diagnosis from cognitive studies view that have been performed in the field of medical education. Then, we will discuss our shared web environment designed to support distance diagnosis learning, which aims to promote knowledge coconstruction and collaboration between learner