Functional neuroimaging correlates of thinking flexibility and knowledge structure in memory: Exploring the relationships between clinical reasoning and diagnostic thinking

Medical Teacher

Volumn 38, Issue 6, 2016, Pages 570-577

  Durning, Steven J ^a   Costanzo, Michelle E ^a   Beckman, Thomas J ^b   Artino, Anthony R ^a   Roy, Michael J ^a   van der Vleuten, Cees ^c   Holmboe, Eric S ^d   Lipner, Rebecca S ^d   Schuwirth, Lambert ^e  

^a UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES   (United States)

^b Mayo Clinic College of Medicine   (United States)

^c MAASTRICHT UNIVERSITY   (Netherlands)

^d AMERICAN BOARD OF INTERNAL MEDICINE   (United States)

^e FLINDERS UNIVERSITY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

FUNCTIONAL MAGNETIC RESONANCE IMAGING; FUNCTIONAL NEUROIMAGING; HUMAN; HUMAN EXPERIMENT; MEDICAL EDUCATION; MEMORY; MODEL; MULTIPLE CHOICE TEST; PHYSICIAN; PREFRONTAL CORTEX; THINKING; VALIDITY; CLINICAL COMPETENCE; CLINICAL DECISION MAKING; NUCLEAR MAGNETIC RESONANCE IMAGING; PHYSIOLOGY;

CLINICAL COMPETENCE; CLINICAL DECISION-MAKING; EDUCATION, MEDICAL; FUNCTIONAL NEUROIMAGING; HUMANS; MAGNETIC RESONANCE IMAGING; THINKING;

EID: 84978516365     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.3109/0142159X.2015.1047755     Document Type: Article

References (48)

1. R.Arden, R.S.Chavez, R.Grazioplene, R.E.Jung. 2010. Neuroimaging creativity: A psychometric view. Behav Brain Res 214(2):143–156
2. A.K.Barbey, R.Colom, J.Solomon, F.Krueger, C.Forbes, J.Grafman. 2012. An integrative architecture for general intelligence and executive function revealed by lesion mapping. Brain 135(Pt 4):1154–1164
3. J.S.Beer, M.V.Lombardo, J.P.Bhanji. 2010. Roles of medial prefrontal cortex and orbitofrontal cortex in self-evaluation. J Cogn Neurosci 22(9):2108–2119
4. G.Bordage, J.Grant, P.Marsden. 1990. Quantitative assessment of diagnostic ability. Med Educ 24(5):413–425
5. R.M.Cervero. 1988. Effective continuing education for professionals. San Francisco: Jossey-Bass
6. W.Chase, H.Simon. 1973. Perception in chess. Cognit Psychol 4(1):55–81
7. G.Chen, Z.S.Saad, A.R.Nath, M.S.Beauchamp, R.W.Cox. 2012. FMRI group analysis combining effect estimates and their variances. Neuroimage 60(1):747–765
8. R.W.Cox. 1996. AFNI: Software for analysis and visualization of functional magnetic resonance neuroimages. Comput Biomed Res 29(3):162–173
9. C.E.Curtis, M.D'Esposito. 2003. Persistent activity in the prefrontal cortex during working memory. Trends Cogn Sci 7(9):415–423
10. S.Durning, A.ArtinoJr, L.Pangaro, C.Van der Vleuten, L.Schuwirth. 2011. Context and clinical reasoning: Understanding the perspective of the expert’s voice. Med Educ 45:927–938
11. S.J.Durning, A.R.ArtinoJr, L.Schuwirth, C.van der Vleuten. 2013a. Clarifying assumptions to enhance our understanding and assessment of clinical reasoning. Acad Med 88(4):442–448
12. S.J.Durning, M.Costanzo, A.R.ArtinoJr, L.N.Dyrbye, T.J.Beckman, L.Schuwirth, E.Holmboe, M.J.Roy, C.M.Wittich, R.S.Lipner, C.van der Vleuten. 2013b. Functional neuroimaging correlates of burnout among internal medicine residents and faculty members. Front Psychiatry 4:131
13. S.J.Durning, J.Graner, A.R.ArtinoJr, L.N.Pangaro, T.Beckman, E.Holmboe, T.Oakes, M.Roy, G.Riedy, V.Capaldi, A.etal. 2012. Using functional neuroimaging combined with a think-aloud protocol to explore clinical reasoning expertise in internal medicine. Mil Med 177(9 Suppl):72–78
14. V.Goel. 2007. Anatomy of deductive reasoning. Trends Cogn Sci 11(10):435–441
15. V.Goel, C.Buchel, C.Frith, R.J.Dolan. 2000. Dissociation of mechanisms underlying syllogistic reasoning. Neuroimage 12(5):504–514
16. V.Goel, R.J.Dolan. 2003. Reciprocal neural response within lateral and ventral medial prefrontal cortex during hot and cold reasoning. Neuroimage 20(4):2314–2321
17. V.Goel, B.Gold, S.Kapur, S.Houle. 1998. Neuroanatomical correlates of human reasoning. J Cogn Neurosci 10(3):293–302
18. V.Goel, J.Shuren, L.Sheesley, J.Grafman. 2004. Asymmetrical involvement of frontal lobes in social reasoning. Brain 127(Pt 4):783–790
19. M.Goldszmidt, J.P.Minda, G.Bordage. 2013. Developing a unified list of physicians' reasoning tasks during clinical encounters. Acad Med 88(3):390–397
20. I.Harris. 1993. New expectations for professional competence. In: L.Curry, J.Wergin, editors. Educating professionals: Responding to new expectations for competence and accountability. San Francisco: Jossey-Bass. pp 17–52
21. E.Heit. 2015. Brain imaging, forward inference, and theories or reasoning. Front Human Neurosci 8:1–5
22. J.Higgs, M.A.Jones, S.Loftus, N.Christensen. 2008. Clinical reasoning in the health professions. Amsterdam: Elsevier
23. U.Jones. 1997. The reliability and validity of the Bordage, Grant & Marsden diagnostic thinking inventory for use with physiotherapists. Med Teach 19(2):133–140
24. D.Kahneman. 2011. Thinking, fast and slow. New York: Macmillan
25. H.Kim. 2011. Neural activity that predicts subsequent memory and forgetting: A meta-analysis of 74 fMRI studies. Neuroimage 54(3):2446–2461
26. S.W.Kleibeuker, P.C.Koolschijn, D.D.Jolles, C.K.De Dreu, E.A.Crone. 2013. The neural coding of creative idea generation across adolescence and early adulthood. Front Hum Neurosci 7:905
27. M.D.Lieberman. 2007. Social cognitive neuroscience: A review of core processes. Annu Rev Psychol 58:259–289
28. C.J.Limb, A.R.Braun. 2008. Neural substrates of spontaneous musical performance: An fMRI study of jazz improvisation. PLoS One 3(2):e1679
29. W.L.Lin, P.H.Tsai, H.Y.Lin, H.C.Chen. 2014. How does emotion influence different creative performances? The mediating role of cognitive flexibility. Cogn Emot 28(5):834–844
30. S.Liu, H.M.Chow, Y.Xu, M.G.Erkkinen, K.E.Swett, M.W.Eagle, D.A.Rizik-Baer, A.R.Braun. 2012. Neural correlates of lyrical improvisation: An fMRI study of freestyle rap. Sci Rep 2:834
31. B.Nijstad, C.K.W.De Dreu, E.F.Rietzschel, M.Baas. 2010. The dual pathway to creativity model: Creative ideation as a function of flexibility and persistence. Eur Rev Soc Psychol 21(1):34–77
32. G.Norman. 2009. Dual processing and diagnostic errors. Adv Health Sci Educ Theory Pract 14(Suppl 1):37–49
33. G.R.Norman, K.W.Eva. 2010. Diagnostic errors and clinical reasoning. Med Educ 44:94–100
34. C.L.Palladino, B.Ange, D.S.Richardson, R.Casillas, M.Decker, R.A.Gillies, A.House, M.Rollock, W.H.Salazar, J.L.Waller,. 2013. Measuring psychological flexibility in medical students and residents: A psychometric analysis. Med Educ Online 18:20932
35. T.Pelaccia, J.Tardif, E.Triby, B.Charlin. 2011. An analysis of clinical reasoning through a recent and comprehensive approach: The dual-process theory. Med Educ Online 16:5890
36. G.J.Peters, C.N.David, M.D.Marcus, D.M.Smith. 2013. The medial prefrontal cortex is critical for memory retrieval and resolving interference. Learn Mem 20(4):201–209
37. R.A.Poldrack. 2011. Inferring mental states from neuroimaging data: From reverse inference to large-scale decoding. Neuron 72(5):692–697
38. J.Prado, A.Chadha, J.R.Booth. 2011. The brain network for deductive reasoning: A quantitative meta-analysis of 28 neuroimaging studies. J Cogn Neurosci 23(11):3483–3497
39. C.C.Ruff, M.Knauff, T.Fangmeier, J.Spreer. 2003. Reasoning and working memory: Common and distinct neuronal processes. Neuropsychologia 41(9):1241–1253
40. H.G.Schmidt, H.P.Boshuizen. 1993. On acquiring expertise in medicine. Special Issue: European educational psychology. Educ Psychol Rev 5(3):205–221
41. H.G.Schmidt, G.R.Norman, H.P.A.Boshuizen. 1990. A cognitive perspective on medical expertise: Theory and implications. Acad Med 65(10):611–622
42. J.Shen, G.Zhang, L.Yao, X.Zhao. 2015. Real-time fMRI training-induced changes in regional connectivity mediating verbal working memory behavioral performance. Neuroscience 289:144–152
43. D.T.Sobral. 1995. Diagnostic ability of medical students in relation to their learning characteristics and preclinical background. Med Educ 29(4):278–282
44. H.Takeuchi, Y.Taki, H.Hashizume, Y.Sassa, T.Nagase, R.Nouchi, R.Kawashima. 2012. The association between resting functional connectivity and creativity. Cereb Cortex 22(12):2921–2929
45. B.A.Vollm, A.N.Taylor, P.Richardson, R.Corcoran, J.Stirling, S.McKie, J.F.Deakin, R.Elliott. 2006. Neuronal correlates of theory of mind and empathy: A functional magnetic resonance imaging study in a nonverbal task. Neuroimage 29(1):90–98
46. A.D.Wagner, A.Maril, R.A.Bjork, D.L.Schacter. 2001. Prefrontal contributions to executive control: fMRI evidence for functional distinctions within lateral Prefrontal cortex. Neuroimage 14(6):1337–1347
47. G.A.Wiggins, J.Bhattacharya. 2014. Mind the gap: An attempt to bridge computational and neuroscientific approaches to study creativity. Front Hum Neurosci 8:540
48. K.Yaoi, N.Osaka, M.Osaka. 2009. Is the self special in the dorsomedial prefrontal cortex? An fMRI study. Soc Neurosci 4(5):455–463