ERIC Number: EJ855253
Record Type: Journal
Publication Date: 2009-Sep
Abstractor: As Provided
Reference Count: 0
Thinking about Diagnostic Thinking: A 30-Year Perspective
Elstein, Arthur S.
Advances in Health Sciences Education, v14 suppl 1 p7-18 Sep 2009
This paper has five objectives: (a) to review the scientific background of, and major findings reported in, Medical Problem Solving, now widely recognized as a classic in the field; (b) to compare these results with some of the findings in a recent best-selling collection of case studies; (c) to summarize criticisms of the hypothesis-testing model and to show how these led to greater emphasis on the role of clinical experience and prior knowledge in diagnostic reasoning; (d) to review some common errors in diagnostic reasoning; (e) to examine strategies to reduce the rate of diagnostic errors, including evidence-based medicine and systematic reviews to augment personal knowledge, guidelines and clinical algorithms, computer-based diagnostic decision support systems and second opinions to facilitate deliberation, and better feedback.
Descriptors: Prior Learning, Decision Support Systems, Clinical Experience, Problem Solving, Case Studies, Hypothesis Testing, Thinking Skills, Evidence, Feedback (Response), Prevention, Information Technology, Expertise, Cognitive Processes, Medical Services, Physicians, Medical Evaluation, Clinical Diagnosis, Safety
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: Higher Education; Postsecondary Education
Authoring Institution: N/A