Using the Chief Complaint Driven Medical History: Theoretical Background and Practical Steps for Student Clinicians
A previous short report presented an approach to teaching a focused medical history in the emergency department by using a chief complaint directed differential diagnosis guided streamlined series of questioning. It was proposed that such an approach teaches clinical expertise. The current article p...
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2020-01-01
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| Series: | MedEdPublish |
| Subjects: | |
| Online Access: | https://www.mededpublish.org/Manuscripts/2807 |
| _version_ | 1818365411760013312 |
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| author | Richard J. Nierenberg |
| author_facet | Richard J. Nierenberg |
| author_sort | Richard J. Nierenberg |
| collection | DOAJ |
| description | A previous short report presented an approach to teaching a focused medical history in the emergency department by using a chief complaint directed differential diagnosis guided streamlined series of questioning. It was proposed that such an approach teaches clinical expertise. The current article presents a review of a robust literature in the acquisition of cognitive expertise, and specifically how novices become experts through the acquistion of increasingly relevant and pertinent information. The review traces the development of several concepts such as exemplars illness scripts, problem representations, the use of semantic qualifiers and shows how the current proposed method incorporates those approaches. The method is applied specifically to two patient chief complaints commonly encountered in the emergency deparment and suggests how this approach would be useful in developing diagnostic ability in student physicians. |
| first_indexed | 2024-12-13T22:19:51Z |
| format | Article |
| id | doaj.art-cb8d81ea5c194b0a8460f48f7afb45b9 |
| institution | Directory Open Access Journal |
| issn | 2312-7996 |
| language | English |
| last_indexed | 2024-12-13T22:19:51Z |
| publishDate | 2020-01-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | MedEdPublish |
| spelling | doaj.art-cb8d81ea5c194b0a8460f48f7afb45b92022-12-21T23:29:24ZengF1000 Research LtdMedEdPublish2312-79962020-01-0191Using the Chief Complaint Driven Medical History: Theoretical Background and Practical Steps for Student CliniciansRichard J. Nierenberg0Hackensack University Medical Center, Hackensack Meridian Health and Hackensack Meridian School of Medicine at Seton Hall UniversityA previous short report presented an approach to teaching a focused medical history in the emergency department by using a chief complaint directed differential diagnosis guided streamlined series of questioning. It was proposed that such an approach teaches clinical expertise. The current article presents a review of a robust literature in the acquisition of cognitive expertise, and specifically how novices become experts through the acquistion of increasingly relevant and pertinent information. The review traces the development of several concepts such as exemplars illness scripts, problem representations, the use of semantic qualifiers and shows how the current proposed method incorporates those approaches. The method is applied specifically to two patient chief complaints commonly encountered in the emergency deparment and suggests how this approach would be useful in developing diagnostic ability in student physicians.https://www.mededpublish.org/Manuscripts/2807Learning theoryexpertisedifferential diagnosismedical historycognitive processeschief complaint |
| spellingShingle | Richard J. Nierenberg Using the Chief Complaint Driven Medical History: Theoretical Background and Practical Steps for Student Clinicians MedEdPublish Learning theory expertise differential diagnosis medical history cognitive processes chief complaint |
| title | Using the Chief Complaint Driven Medical History: Theoretical Background and Practical Steps for Student Clinicians |
| title_full | Using the Chief Complaint Driven Medical History: Theoretical Background and Practical Steps for Student Clinicians |
| title_fullStr | Using the Chief Complaint Driven Medical History: Theoretical Background and Practical Steps for Student Clinicians |
| title_full_unstemmed | Using the Chief Complaint Driven Medical History: Theoretical Background and Practical Steps for Student Clinicians |
| title_short | Using the Chief Complaint Driven Medical History: Theoretical Background and Practical Steps for Student Clinicians |
| title_sort | using the chief complaint driven medical history theoretical background and practical steps for student clinicians |
| topic | Learning theory expertise differential diagnosis medical history cognitive processes chief complaint |
| url | https://www.mededpublish.org/Manuscripts/2807 |
| work_keys_str_mv | AT richardjnierenberg usingthechiefcomplaintdrivenmedicalhistorytheoreticalbackgroundandpracticalstepsforstudentclinicians |