Overview of diagnostic reasoning: hypothetical-deductive strategy, problem representation, semantic qualifiers, illness scripts, pattern recognition and prototypes
2009; African Journals OnLine; Volume: 36; Issue: 3 Linguagem: Inglês
ISSN
0047-651X
Autores Tópico(s)Electronic Health Records Systems
ResumoContext: This current paper is a non-systematic review of diagnostic reasoning exclusive of the Bayesian model which we considered a decisionmaking stratagem. The paper reviews primarily the literature on hypothetical-deductive reasoning and pattern recognition, the two archetypes of analytical and non-analytical reasoning, respectively . Though a lot of work has been reported in this field internationally our medical training in Zambia does not overtly tackle diagnostic reasoning and expectedly not many clinicians in Zambia are acquainted with the subject matter. Nevertheless, our clinicians pass on to future generations, by apprenticeship, their diagnostic reasoning processes, but to be effective educators clinicians must understand diagnostic reasoning well. Purpose: The purpose of the current paper is threefold: 1) to share the generally accepted concepts in diagnostic reasoning in order to help clinicians become more effective educators in the clinical settings, 2) provoke clinicians and students
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