Teaching from the clinical reasoning literature: Combined reasoning strategies help novice diagnosticians overcome misleading information

Medical Education

Volumn 41, Issue 12, 2007, Pages 1152-1158

  Eva, Kevin W ^a   Hatala, Rose M ^b   LeBlanc, Vicki R ^c   Brooks, Lee R ^a  

^a MCMASTER UNIVERSITY   (Canada)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

Author keywords

*clinical competence; *diagnosis; Cardiology *education; Education, medical, undergraduate *methods; Psychology *education; Teaching *methods

Indexed keywords

ARTICLE; CLINICAL ARTICLE; DIAGNOSTIC ERROR; DIAGNOSTIC PROCEDURE; ELECTROCARDIOGRAM; HUMAN; MEDICAL EDUCATION; MEDICAL INFORMATION; MEDICAL LITERATURE; MEDICAL PRACTICE; MEDICAL STUDENT;

CARDIOLOGY; CLINICAL COMPETENCE; DIAGNOSIS; EDUCATION, MEDICAL, UNDERGRADUATE; HUMANS; PSYCHOLOGY; TEACHING;

EID: 36649020287     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/j.1365-2923.2007.02923.x     Document Type: Article

References (18)

1. Custers EJFM, Regehr G, Norman GR. Mental representations of medical diagnostic knowledge: a review. Acad Med 1996 71 : 24 6.
2. Eva KW. What every teacher needs to know about clinical reasoning. Med Educ 2005 39 : 98 106.
3. Rosenthal J. Struck by Lightning: the Curious World of Probabilities. Toronto : HarperCollins 2005.
4. Tversky A, Kahneman D. Judgement under uncertainty: heuristics and biases. Science 1974 185 : 1124 31.
5. Klein JG. Five pitfalls in decisions about diagnosis and prescribing. BMJ 2005 330 : 781 4.
6. Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimise them. Acad Med 2003 78 : 775 80.
7. Elieson SW, Papa FJ. The effects of various knowledge formats on diagnostic performance. Acad Med 1994 69 (Suppl 81 3.
8. Mandin H, Jones A, Woloschuk W, Harasym P. Helping students learn to think like experts when solving clinical problems. Acad Med 1997 72 : 173 9.
9. Gigerenzer G, Todd P, ABC Research Group. Simple Heuristics that make us Smart. New York : Oxford University Press 1999.
10. Gladwell M. Blink: the Power of Thinking without Thinking. New York : Little Brown & Co. 2005.
11. Norman GR, Brooks LR, Colle CL, Hatala RM. The benefit of diagnostic hypotheses in clinical reasoning: experimental study of an instructional intervention for forward and backward reasoning. Cognit Instr 2000 17 : 433 48.
12. Eva KW, Norman GR. Heuristics and biases - a biased perspective on clinical reasoning. Med Educ 2005 39 : 870 2.
13. Ark TK, Brooks LR, Eva KW. The benefits of flexibility: the pedagogical value of instructions to adopt multi-faceted diagnostic reasoning strategies. Med Educ 2007 41 : 281 7.
14. Ark TK, Brooks LR, Eva KW. Giving learners the best of both worlds: do clinical teachers need to guard against teaching pattern recognition to novices? Acad Med 2006 81 : 405 9.
15. Hatala R, Norman GR, Brooks LR. Impact of a clinical scenario on accuracy of electrocardiogram interpretation. J Gen Intern Med 1999 14 : 126 9.
16. LeBlanc VR, Brooks LR, Norman GR. Believing is seeing: the influence of a diagnostic hypothesis on the interpretation of clinical features. Acad Med 2002 77 (Suppl 67 9.
17. Norman GR, Brooks LR. The non-analytical basis of clinical reasoning. Adv Health Sci Educ 1997 2 : 173 84.
18. Mylopolous M, Regehr G. Cognitive metaphors of expertise and knowledge: prospects and limitations for medical education. Med Educ 2007 41 : 1159 65.