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The structured observation summary (SOS) is an active learning method based on a case whose diagnosis is known to the learners. It is a method used for supervised teaching during clinical placements at the Faculty of Medicine in Tunis.The aim of this study was to evaluate the value of OSR in teaching clinical reasoning in cardiology to first-year students in the second cycle of medical studies.We conducted a total of 9 supervised teaching sessions during which 31 students were involved and 91 OSR forms were completed.The students' satisfaction with this project suggests that its scope should be extended.However, certain changes could be made to some of the headings on the OSR form.