Clinical reasoning A guide to improving teaching and practice

被引:1
作者
Linn, Andrew [1 ]
Khaw, Carole [1 ]
Kildea, Hugh [1 ]
Tonkin, Anne [1 ]
机构
[1] Univ Adelaide, Med Learning & Teaching Unit, Adelaide, SA 5005, Australia
关键词
education; medical; clinical competence; models; educational; general practice; THINKING;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background The process of clinical reasoning is undertaken by all clinicians, often automatically, and is the cognitive process that underlies diagnosis and management of a patient's presenting problem. The teaching of clinical reasoning can pose a challenge to the clinical teacher. Objective This article reviews the process of clinical reasoning and provides the teacher with a framework to teach clinical reasoning to students and junior doctors. Discussion By considering clinical reasoning as a skill to be learnt rather than a concept to be understood, a framework for teaching this skill can be developed. The learner initially observes a consultation by the teaching clinician, followed by the teacher explaining the reasoning processes used including hypothesising, hypothesis testing, re-analysis and differential diagnosis. The student then comments on the reasoning of the teacher in a subsequent consultation, followed by feedback from the teacher on the student's reasoning in a third consultation.
引用
收藏
页码:18 / 20
页数:3
相关论文
共 11 条
[1]  
Anderson K.M., 2006, TENDING WILD, P1
[2]  
Barrows Howard S, 1980, Problembased Learning: An Approach to Medical Education, V1
[3]   A Universal Model of Diagnostic Reasoning [J].
Croskerry, Pat .
ACADEMIC MEDICINE, 2009, 84 (08) :1022-1028
[4]   Thinking about diagnostic thinking: a 30-year perspective [J].
Elstein, Arthur S. .
ADVANCES IN HEALTH SCIENCES EDUCATION, 2009, 14 :7-18
[5]  
George JH, 2001, FAM MED, V33, P577
[6]   Current trends in developing medical students' critical thinking abilities [J].
Harasym, Peter H. ;
Tsai, Tsuen-Chiuan ;
Hemmati, Payman .
KAOHSIUNG JOURNAL OF MEDICAL SCIENCES, 2008, 24 (07) :341-355
[7]   Teaching Clinical Reasoning: Case-Based and Coached [J].
Kassirer, Jerome P. .
ACADEMIC MEDICINE, 2010, 85 (07) :1118-1124
[8]   The effects of problem-based learning during medical school on physician competency: a systematic review [J].
Koh, Gerald Choon-Huat ;
Khoo, Hoon Eng ;
Wong, Mee Lian ;
Koh, David .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2008, 178 (01) :34-41
[9]   Teaching on the run tips 5: teaching a skill [J].
Lake, FR ;
Hamdorf, JM .
MEDICAL JOURNAL OF AUSTRALIA, 2004, 181 (06) :327-+
[10]  
Lesgold A., 1989, COGNITIVE SCI MED BI