Identifying reasoning strategies in medical decision making: A methodological guide

Journal of Biomedical Informatics

Volumn 38, Issue 2, 2005, Pages 154-171

  Arocha, Jose F ^a   Wang, Dongwen ^b   Patel, Vimla L ^b,c  

^a UNIVERSITY OF WATERLOO   (Canada)

^b Howard Hughes Medical Institute   (United States)

^c NEW YORK STATE PSYCHIATRIC INSTITUTE   (United States)

Author keywords

Clinical reasoning; Diagnostic problem solving; Explanation tasks; Explanatory coherence; Information technology; Medical decision making; Semantic networks

Indexed keywords

DECISION MAKING; INFORMATION ANALYSIS; PROBLEM SOLVING; SEMANTICS; STRATEGIC PLANNING;

CLINICAL TASKS; MEDICAL DECISION MAKING; ONTOLOGIES; OPTIMAL DESIGN;

BIOMEDICAL ENGINEERING;

MEDICAL DECISION MAKING; MEDICAL INFORMATICS; METHODOLOGY; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROBLEM SOLVING; REVIEW; SEMANTICS;

ARTIFICIAL INTELLIGENCE; DECISION SUPPORT SYSTEMS, CLINICAL; DECISION SUPPORT TECHNIQUES; DIAGNOSIS, COMPUTER-ASSISTED; HUMANS; THERAPY, COMPUTER-ASSISTED;

EID: 15944400052     PISSN: 15320464     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jbi.2005.02.001     Document Type: Review

References (85)

1. W.J. Long Medical informatics: reasoning methods Artif Intell Med 23 2001 71 87
2. V.L. Patel, and M. Ramoni Cognitive models of directional inference in expert medical reasoning P. Feltovich K. Ford R. Hoffman Expertise in context 1997 AAAI Press/MIT Press Menlo Park, CA 67 99
3. M. Ramoni, M. Stafanell, L. Magnani, and G. Barosi An epistemological framework for medical knowledge based systems IEEE Trans Syst Man Cybernet 22 1990 1361 1375
4. A.S. Elstein, and A. Schwarz Clinical problem solving and diagnostic decision making: selective review of the cognitive literature Br Med J 324 2002 729 732
5. V.L. Patel, D.R. Kaufman, and J.F. Arocha Emerging paradigms of cognition in medical decision-making J Biomed Inform 35 2002 52 75
6. C.D. Buckingham, and A. Adams Classifying clinical decision making: interpreting nursing intuition, heuristics and medical diagnosis J Adv Nurs 32 2000 990 998
7. C.D. Buckingham, and A. Adams Classifying clinical decision making: a unifying approach J Adv Nurs 32 2000 981 989
8. V.L. Patel, J.F. Arocha, and A.W. Kushniruk Patients' and physicians' understanding of health and biomedical concepts: relationship to the design of EMR systems J Biomed Inform 35 2002 8 16
9. V.L. Patel, D.R. Kaufman, and J.F. Arocha Conceptual change in the biomedical and health sciences domain R. Glaser Advances in instructional psychology: educational design and cognitive science vol. 5 2000 Erlbaum Mahwah, NJ 329 392
10. H.J. Murff, V.L. Patel, G. Hripcsak, and D.W. Bates Detecting adverse events for patient safety research: a review of current methodologies J Biomed Inform 36 2003 131 143
11. J. Zhang, V.L. Patel, T.R. Johnson, and E.H. Shortliffe A cognitive taxonomy of medical errors J Biomed Inform 37 2004 193 204
12. M. Groves, P. O'Rourke, and H. Alexander Clinical reasoning: the relative contribution of identification, interpretation and hypothesis errors to misdiagnosis Med Teach 25 2003 621 625
13. S. Coderre, H. Mandin, P.H. Harasym, and G.H. Fick Diagnostic reasoning strategies and diagnostic success Med Educ 37 2003 695 703
14. V.L. Patel, J.F. Arocha, M. Diermeier, R.A. Greenes, and E.H. Shortliffe Methods of cognitive analysis to support the design and evaluation of biomedical systems: the case of clinical practice guidelines J Biomed Inform 34 2001 52 66
15. V.L. Patel, T. Branch, and J.F. Arocha Errors in interpreting quantities as procedures: the case of pharmaceutical labels Int J Med Inf 65 2002 193 211
16. V.L. Patel, and G.J. Groen Knowledge-based solution strategies in medical reasoning Cognit Sci 10 1986 91 116
17. G.-M. Joseph, and V.L. Patel Domain knowledge and hypothesis generation in diagnostic reasoning Med Decis Making 10 1990 31 46
18. V.L. Patel, G.J. Groen, and J.F. Arocha Medical expertise as a function of task difficulty Memory Cognit 18 1990 394 406
19. V.L. Patel, D.A. Evans, and G.J. Groen Biomedical knowledge and clinical reasoning D.A. Evans V.L. Ptel Cognitive science in medicine: biomedical modeling 1989 The MIT Press Cambridge, MA 49 108
20. Patel VL, Groen GJ. Real versus artificial expertise: the development of cognitive models of clinical reasoning. In: Stefanellii M, Hasman A, Fieschi M, Talmon J, editors. Lecture notes in medical informatics: proceedings of the third conference on artificial intelligence in medicine. Heidelberg: Springer-Verlag; 1991. p. 25-37
21. V.L. Patel, G.J. Groen, M.F. Ramoni, and D.R. Kaufman Machine depth versus psychological depth: a lack of equivalence E. Keravnou Deep models for medical knowledge engineering 1992 Elsevier North Holland 249 272
22. V.L. Patel, and C.H. Frederiksen Cognitive processes in comprehension and knowledge acquisition by medical students and physicians H.G. Schmidt M.C.D. Volder Tutorial in problem-based learning 1984 van Gorcum Assen, Holland 143 157
23. G.J. Groen, and V.L. Patel The relationship between comprehension and reasoning in medical expertise M. Chi R. Glaser M. Farr The nature of expertise 1988 Erlbaum Hillsdale, NJ 287 310
24. V.L. Patel, T.O. Eisemon, and J.F. Arocha Comprehending instructions for using pharmaceutical products in rural Kenya Instruct Sci 19 1990 71 84
25. V.L. Patel, V.G. Allen, J.F. Arocha, and E.H. Shortliffe Representing clinical guidelines in GLIF: individual and collaborative expertise J Am Med Inform Assoc 5 1998 467 483
26. V.L. Patel, J.F. Arocha, M. Diermeier, J. How, and C. Mottur-Pilson Cognitive psychological studies of representation and use of clinical practice guidelines Int J Med Inf 63 2001 147 167
27. D.A. Evans, and C.S. Gadd Managing coherence and context in medical problem-solving discourse D.A. Evans V.L. Patel Cognitive science in medicine: biomedical modeling 1989 MIT Press Cambridge, MA 211 255
28. Anzai Y, Patel VL. Learning graph-reading skills for solving problems. In: Evans DA, Patel VL, editors. Advanced models of cognition for medical training and practice, NATO ASI Series F: computer and systems, vol. 97. Heidelberg, Germany; 1992
29. V.G. Allen, J.F. Arocha, and V.L. Patel Evaluating evidence against diagnostic hypotheses in clinical decision making by students, residents and physicians Int J Med Inform 51 1998 91 105
30. J. Leprohon, and V.L. Patel Decision making strategies for telephone triage in emergency medical services Med Decis Making 15 1995 240 253
31. V.L. Patel, T. Branch, D. Wang, M. Peleg, and A. Boxwala Analysis of the process of encoding guidelines: a comparison of GLIF2 and GLIF3 Methods Inf Med 41 2002 105 113
32. C.H. Frederiksen Learning to reason through discourse in a problem-based learning group Disc Process 27 1999 135 160
33. C.H. Frederiksen Cognitive models and discourse analysis C.R. Cooper S. Greenbaum Written communication annual: an international surveyof research and theory. Vol. 1: Studying writing: linguistics approaches 1986 Sage Beverly Hills, CA 227 268
34. Clancey WJ, Shortliffe EH. Readings in medical artificial intelligence: the first decade. Reading, MA: Addison-Wesley; 1984
35. G.J. Groen, and V.L. Patel Medical problem-solving: some questionable assumptions Med Educ 19 1985 95 100
36. M.T.H. Chi Quantifying qualitative analyses of verbal data: a practical guide J Learn Sci 6 1997 271 315
37. M.T.H. Chi Self-explaining expository texts: the dual process of generating inferences and repairing mental models R. Glaser Advances in instructional psychology: educational design and cognitive science 2000 Erlbaum Mahwah, NJ
38. M.T.H. Chi, M. Bassok, M.W. Lewis, P. Reiman, and R. Glaser Self-explanations: how students study and use examples of learning to solve problems Cognit Sci 13 1989 145 182
39. V.L. Patel, and J.F. Arocha Cognitive models of clinical reasoning and conceptual representation Methods Inf Med 34 1995 47 56
40. V.L. Patel, and J.F. Arocha Methods of investigating clinical reasoning J. Higgs M. Jones Clinical reasoning in the health professions 2000 Butterworth Heinemann Oxford, UK 35 48
41. V.L. Patel, and J.F. Arocha Introduction to the workshop on medical education and training in the information age Clin Invest Med 23 2000 251 255
42. V.L. Patel, J.F. Arocha, and D.R. Kaufman Diagnostic reasoning and medical expertise Psychol Learn Motiv 31 1994 187 252
43. J.A. Leon, and O. Perez The influence of prior knowledge on the time course of clinical diagnosis inferences: a comparison of experts and novices Discourse Proc 31 2001 187 213
44. V.L. Patel, D.A. Evans, and D.R. Kaufman Cognitive framework for doctor-patient interaction D.A. Evans V.L. Patel Cognitive science in medicine: biomedical modeling 1989 MIT Press Cambridge, MA 253 308
45. V.L. Patel, D.R. Kaufman, and S.A. Magder The acquisition of medical expertise in complex dynamic environments K.A. Ericsson The road to excellence: the acquisition of expert performance in the arts and sciences, sports and games 1996 Erlbaum Hillsdale, NJ 127 165
46. V.L. Patel, J.F. Arocha, and D.R. Kaufman Expertise and tacit knowledge in medicine R.J. Sternberg J.A. Horvath Tacit knowledge in professional practice: researcher and practitioner perspectives 1999 Erlbaum Mahwah, NJ 75 99
47. V.L. Patel, J.F. Arocha, and D.R. Kaufman Medical cognition F.T. Durso Handbook of applied cognition 1999 Wiley New York, NY 663 693
48. S.M. Doane, S.M. Mannes, W. Kintsch, and P.G. Polson Modeling user action planning: a comprehension based approach User Model User Adapted Interact 2 1992 249 285
49. K.A. Ericsson, and J. Smith Prospects and limits of the empirical study of expertise: an introduction K.A. Ericsson J. Smith Toward a general theory of expertise: prospects and limits 1991 Cambridge University Press New York, NY 1 38
50. Ericsson KA, Staszewski JJ. Skilled memory and expertise: mechanisms of exceptional performance. In: Klahr D, Kotovsky K, editors. Complex information processing: the impact of Herbert A. Simon. Hillsdale, NJ: Erlbaum; 1989. p. 235-67
51. K.A. Ericsson, and W. Kintsch Long-term working memory Psychol Rev 102 1995 211 245
52. T.A. van Dijk, and W. Kintsch Strategies of discourse comprehension 1983 Academic Press New York, NY
53. Arocha JF, Patel VL. Construction-integration theory and clinical reasoning. In: Weaver III CA, Mannes S, Fletcher CR, editors. Hillsdale, NJ: Erlbaum; 1995. p. 359-82
54. K.A. Ericsson, V. Patel, and W. Kintsch How experts' adaptations to representative task demands account for the expertise effect in memory recall: comment on Vicente and Wang (1998) Psychol Rev 107 2000 578 592
55. W. Kintsch, V.L. Patel, and K.A. Ericsson The role of long-term working memory in text comprehension Psychologia 42 1999 186 198
56. E. Gatens-Robinson Clinical judgment and the rationality of the human sciences J Med Philos 11 1986 167 178
57. H. Mandin, A. Jones, W. Woloschuk, and P. Harasym Helping students learn to think like experts when solving clinical problems Acad Med 72 1997 173 179
58. M.A. Musen, S.W. Tu, A.K. Das, and Y. Shahar EON: a component-based approach to automation of protocol-directed therapy J Am Med Inform Assoc 3 1996 367 388
59. M. Werner A model for medical decision making and problem solving Clin Chem 41 1995 1215 1222
60. C.H. McGuire Medical problem-solving: a critique of the literature J Med Educ 60 1985 587 595
61. J.F. Arocha, V.L. Patel, and Y.C. Patel Hypothesis generation and the coordination of theory and evidence in novice diagnostic reasoning Med Decis Making 13 1993 198 211
62. V.L. Patel, J.F. Arocha, and R. Glaser Cognition and expertise: acquisition of medical competence Clin Invest Med 23 2001 256 260
63. J.F. Arocha, and V.L. Patel Novice diagnostic reasoning in medicine: accounting for clinical evidence J Learn Sci 4 1995 355 384
64. S. Bovair, and D.E. Kieras A guide to propositional analysis for research on technical prose B.K. Britton J.B. Black Understanding expository prose 1985 Erlbaum Hillsdale, NJ 315 362
65. C.H. Frederiksen Representing logical and semantic structure of knowledge acquired from discourse Cognit Psychol 7 1975 371 458
66. W. Kintsch Comprehension: a paradigm for cognition 1998 Cambridge University Press New York, NY, USA p. 461
67. A.M. Glenberg, D.A. Robertson, J.L. Jansen, and M.C. Johnson-Glenberg Not propositions Cognit Syst Res 1 1999 19 33
68. V.L. Patel, D.R. Kaufman, and J.F. Arocha Steering through the murky waters of a scientific conflict: situated and symbolic models of clinical cognition Artif Intell Med 7 1995 413 438
69. A.M. Rassinoux, R.A. Miller, R.H. Baud, and J.R. Scherrer Modeling concepts in medicine for medical language understanding Methods Inf Med 37 1998 361 372
70. K.E. Campbell, and M.A. Musen Representation of clinical data using SNOMED III and conceptual graphs Proc Annu Symp Comput Appl Med Care 1992 354 358
71. V.L. Patel, and G.J. Groen The general and specific nature of medical expertise: a critical look A. Ericsson J. Smith Toward a general theory of expertise: prospects and limits 1991 Cambridge University Press New York, NY 93 125
72. B.G. Buchanan, and E.H. Shortliffe Rule-based expert systems: the MYCIN experiments of the Stanford heuristic programming project 1984 Addison-Wesley Reading, MA
73. V.L. Patel, J.F. Arocha, and D.R. Kaufman A primer on aspects of cognition for medical informatics J Am Med Inform Assoc 8 2001 324 343
74. E.H. Shortliffe, R. Davis, S.G. Axline, B.G. Buchanan, C.C. Green, and S.N. Cohen Computer-based consultations in clinical therapeutics: explanation and rule acquisition capabilities of the MYCIN system Comput Biomed Res 8 1975 303 320
75. V.L. Patel, G.J. Groen, and G.R. Norman Reasoning and instruction in medical curricula Cognit Instruct 10 1993 335 378
76. T. Winograd Understanding natural language Cognit Psychol 3 1972 1 191
77. L.D. Coughlin, and V.L. Patel Processing of critical information by physicians and medical students J Med Educ 62 1987 818 828
78. N. Charness Expertise in chess and bridge D. Klahr K. Kotovsky Complex information processing: the impact of Herbert A. Simon 1989 Erlbaum Hillsdale, NJ, England 183 208
79. W.G. Chase, and H.A. Simon Perception in chess Cognit Psychol 4 1973 55 81
80. A.D. deGroot Thought and choice in chess 1965 Mouton The Hague
81. M.A. Musen Medical informatics: searching for underlying components Methods Inf Med 41 2002 12 19
82. M.A. Musen Scalable software architectures for decision support Methods Inf Med 38 1999 229 238
83. G. Groen, C. Frederiksen, and M. Dillinger A propositional analyst's assistant Behav Res Methods Instrum Comput 16 1984 154 157
84. L. Farand, J.-P. Lafrance, and J.F. Arocha Collaborative problem solving in telemedicine and evidence interpretation in a complex clinical case Int J Med Inf 51 1998 153 167
85. D. Lenat, G. Miller, and T. Yokoi CYC, WordNet, and EDR: critiques and responses Commun ACM 38 1995 45 48