Inference to the best action and its basis in clinical expertise

Can contemporary cognitive science explain clinical expertise? We argue that the answer could be “no.” In support of this, we provide an analysis of two of the most essential expressions of clinical expertise in nursing and medicine, the ability to run a code blue and the ability to diagnose congest...

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Main Authors: Mark Fedyk, Jessica Draughon Moret, Nicolas T. Sawyer
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1032453/full
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author Mark Fedyk
Mark Fedyk
Jessica Draughon Moret
Nicolas T. Sawyer
author_facet Mark Fedyk
Mark Fedyk
Jessica Draughon Moret
Nicolas T. Sawyer
author_sort Mark Fedyk
collection DOAJ
description Can contemporary cognitive science explain clinical expertise? We argue that the answer could be “no.” In support of this, we provide an analysis of two of the most essential expressions of clinical expertise in nursing and medicine, the ability to run a code blue and the ability to diagnose congestive heart failure. We show how it makes sense to treat both as examples of what we call inference to the best action, and we then argue that two of the standard explanatory paradigms of cognitive science — the Humean and Bayesian paradigms — are unable to provide a plausible analysis of inference to the best action.
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spelling doaj.art-f68a3762d16d4939a96b15370d7e2e532023-11-27T06:54:02ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-11-011410.3389/fpsyg.2023.10324531032453Inference to the best action and its basis in clinical expertiseMark Fedyk0Mark Fedyk1Jessica Draughon Moret2Nicolas T. Sawyer3Division of General Internal Medicine and Bioethics, Department of Internal Medicine, School of Medicine, University of California, Davis, Davis, CA, United StatesBetty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, United StatesBetty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, United StatesDepartment of Emergency Medicine, School of Medicine, University of California, Davis, Sacramento, CA, United StatesCan contemporary cognitive science explain clinical expertise? We argue that the answer could be “no.” In support of this, we provide an analysis of two of the most essential expressions of clinical expertise in nursing and medicine, the ability to run a code blue and the ability to diagnose congestive heart failure. We show how it makes sense to treat both as examples of what we call inference to the best action, and we then argue that two of the standard explanatory paradigms of cognitive science — the Humean and Bayesian paradigms — are unable to provide a plausible analysis of inference to the best action.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1032453/fullinference to the best explanationclinical expertisenursing sciencemedical expertisescientific modelsclinical models
spellingShingle Mark Fedyk
Mark Fedyk
Jessica Draughon Moret
Nicolas T. Sawyer
Inference to the best action and its basis in clinical expertise
Frontiers in Psychology
inference to the best explanation
clinical expertise
nursing science
medical expertise
scientific models
clinical models
title Inference to the best action and its basis in clinical expertise
title_full Inference to the best action and its basis in clinical expertise
title_fullStr Inference to the best action and its basis in clinical expertise
title_full_unstemmed Inference to the best action and its basis in clinical expertise
title_short Inference to the best action and its basis in clinical expertise
title_sort inference to the best action and its basis in clinical expertise
topic inference to the best explanation
clinical expertise
nursing science
medical expertise
scientific models
clinical models
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1032453/full
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