Models of clinical reasoning with a focus on general practice: a critical review
Introduction: Diagnosis lies at the heart of general practice. Every day general practitioners (GPs) visit patients with a wide variety of complaints and concerns, with often minor but sometimes serious symptoms. General practice has many features which differentiate it from specialty care setti...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2017-10-01
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| Series: | Journal of Advances in Medical Education and Professionalism |
| Subjects: | |
| Online Access: | http://jamp.sums.ac.ir/index.php/JAMP/article/view/863 |
| _version_ | 1818692579545317376 |
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| author | SHAHRAM YAZDANI MOHAMMAD HOSSEINZADEH FAKHROLSADAT HOSSEINI |
| author_facet | SHAHRAM YAZDANI MOHAMMAD HOSSEINZADEH FAKHROLSADAT HOSSEINI |
| author_sort | SHAHRAM YAZDANI |
| collection | DOAJ |
| description | Introduction: Diagnosis lies at the heart of general practice.
Every day general practitioners (GPs) visit patients with a
wide variety of complaints and concerns, with often minor but
sometimes serious symptoms. General practice has many features
which differentiate it from specialty care setting, but during the
last four decades little attention was paid to clinical reasoning
in general practice. Therefore, we aimed to critically review the
clinical reasoning models with a focus on the clinical reasoning
in general practice or clinical reasoning of general practitioners
to find out to what extent the existing models explain the clinical
reasoning specially in primary care and also identity the gaps of
the model for use in primary care settings
Methods: A systematic search to find models of clinical reasoning
were performed. To have more precision, we excluded the studies
that focused on neurobiological aspects of reasoning, reasoning
in disciplines other than medicine decision making or decision
analysis on treatment or management plan. All the articles and
documents were first scanned to see whether they include important
relevant contents or any models. The selected studies which
described a model of clinical reasoning in general practitioners or
with a focus on general practice were then reviewed and appraisal
or critics of other authors on these models were included. The
reviewed documents on the model were synthesized
Results: Six models of clinical reasoning were identified including
hypothetic-deductive model, pattern recognition, a dual process
diagnostic reasoning model, pathway for clinical reasoning, an
integrative model of clinical reasoning, and model of diagnostic
reasoning strategies in primary care. Only one model had
specifically focused on general practitioners reasoning.
Conclusion: A Model of clinical reasoning that included specific
features of general practice to better help the general practitioners
with the difficulties of clinical reasoning in this setting is needed. |
| first_indexed | 2024-12-17T13:00:02Z |
| format | Article |
| id | doaj.art-231656536b8a4d57814f153b7097f84d |
| institution | Directory Open Access Journal |
| issn | 2322-2220 2322-3561 |
| language | English |
| last_indexed | 2024-12-17T13:00:02Z |
| publishDate | 2017-10-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Advances in Medical Education and Professionalism |
| spelling | doaj.art-231656536b8a4d57814f153b7097f84d2022-12-21T21:47:23ZengShiraz University of Medical SciencesJournal of Advances in Medical Education and Professionalism2322-22202322-35612017-10-0154177184Models of clinical reasoning with a focus on general practice: a critical reviewSHAHRAM YAZDANI0MOHAMMAD HOSSEINZADEH1FAKHROLSADAT HOSSEINI2School of Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IranSchool of Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IranSchool of Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IranIntroduction: Diagnosis lies at the heart of general practice. Every day general practitioners (GPs) visit patients with a wide variety of complaints and concerns, with often minor but sometimes serious symptoms. General practice has many features which differentiate it from specialty care setting, but during the last four decades little attention was paid to clinical reasoning in general practice. Therefore, we aimed to critically review the clinical reasoning models with a focus on the clinical reasoning in general practice or clinical reasoning of general practitioners to find out to what extent the existing models explain the clinical reasoning specially in primary care and also identity the gaps of the model for use in primary care settings Methods: A systematic search to find models of clinical reasoning were performed. To have more precision, we excluded the studies that focused on neurobiological aspects of reasoning, reasoning in disciplines other than medicine decision making or decision analysis on treatment or management plan. All the articles and documents were first scanned to see whether they include important relevant contents or any models. The selected studies which described a model of clinical reasoning in general practitioners or with a focus on general practice were then reviewed and appraisal or critics of other authors on these models were included. The reviewed documents on the model were synthesized Results: Six models of clinical reasoning were identified including hypothetic-deductive model, pattern recognition, a dual process diagnostic reasoning model, pathway for clinical reasoning, an integrative model of clinical reasoning, and model of diagnostic reasoning strategies in primary care. Only one model had specifically focused on general practitioners reasoning. Conclusion: A Model of clinical reasoning that included specific features of general practice to better help the general practitioners with the difficulties of clinical reasoning in this setting is needed.http://jamp.sums.ac.ir/index.php/JAMP/article/view/863Problem solvingGeneral practitionersDiagnosis |
| spellingShingle | SHAHRAM YAZDANI MOHAMMAD HOSSEINZADEH FAKHROLSADAT HOSSEINI Models of clinical reasoning with a focus on general practice: a critical review Journal of Advances in Medical Education and Professionalism Problem solving General practitioners Diagnosis |
| title | Models of clinical reasoning with a focus on general practice: a critical review |
| title_full | Models of clinical reasoning with a focus on general practice: a critical review |
| title_fullStr | Models of clinical reasoning with a focus on general practice: a critical review |
| title_full_unstemmed | Models of clinical reasoning with a focus on general practice: a critical review |
| title_short | Models of clinical reasoning with a focus on general practice: a critical review |
| title_sort | models of clinical reasoning with a focus on general practice a critical review |
| topic | Problem solving General practitioners Diagnosis |
| url | http://jamp.sums.ac.ir/index.php/JAMP/article/view/863 |
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