David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Theoretical Medicine and Bioethics 30 (3):173-179 (2009)
This article is an introduction to a special issue of Theoretical Medicine and Bioethics on clinical reasoning. Clinical reasoning encompasses the gamut of thinking about clinical medical practice—the evaluation and management of patients’ medical problems. Theories of clinical reasoning may be normative or descriptive; that is, they may offer recommendations on how clinicians ought to think or they may simply attempt to describe how clinicians actually do think. This article briefly surveys these approaches in order to show the complexity of clinical reasoning and the inadequacy of any one theory for capturing the full richness of clinical reasoning. The authors of this issue offer both normative and descriptive elements in their accounts. Topics discussed include the importance for clinical reasoning of tacit knowing, risk assessment, narrative and hermeneutics, wisdom, and virtue epistemology.
|Keywords||Cinical reasoning Descriptive theories Narrative Normative theories Risk assessment Tacit knowing Virtue epistemology Wisdom|
|Categories||categorize this paper)|
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References found in this work BETA
Reidun Førde (1998). Competing Conceptions of Diagnostic Reasoning – is There a Way Out? Theoretical Medicine and Bioethics 19 (1):59-72.
Alison Round (2001). Introduction to Clinical Reasoning. Journal of Evaluation in Clinical Practice 7 (2):109-117.
Arthur S. Elstein, Lee S. Shulman & Sarah A. Sprafka (1978). Medical Problem Solving an Analysis of Clinical Reasoning.
Citations of this work BETA
James A. Marcum (2012). An Integrated Model of Clinical Reasoning: Dual‐Process Theory of Cognition and Metacognition. Journal of Evaluation in Clinical Practice 18 (5):954-961.
Sandro Tsang (2013). Quantifying Judicious Use of Health Information Technology. Journal of Evaluation in Clinical Practice 19 (2):393-399.
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