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Learning clinical reasoning from the fictional detectives
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Robert M. Centor
und
Alonso I. Heudebert
Veröffentlicht/Copyright:
18. Dezember 2020
Abstract
While much diagnosis literature focuses on errors, our goal is to learn how to achieve diagnostic excellence. Before the explosion of cognitive psychology studies on errors, authors of fictional detectives understood the principles of arriving at the correct diagnosis (in their case the guilty party). Using quotes from many fictional detectives, we discuss a framework for diagnostic excellence. Understanding the implications of these quotes should help aspiring diagnosis experts on their path to excellence.
Keywords: clinical reasoning; cognition; diagnosis; diagnostic errors; lab interpretation; physical examination
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Research funding: None declared.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
References
1. Centor, R. Stumbling towards a diagnosis. Diagnosis 2014;1:63–4. https://doi.org/10.1515/dx-2013-0001.Suche in Google Scholar
2. Heudebert, GR. Connecting the dots: like watching a movie…critically. Diagnosis 2014;1:65–7. https://doi.org/10.1515/dx-2013-0017.Suche in Google Scholar
Received: 2020-11-10
Accepted: 2020-11-24
Published Online: 2020-12-18
Published in Print: 2021-11-25
© 2020 Walter de Gruyter GmbH, Berlin/Boston
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Schlagwörter für diesen Artikel
clinical reasoning;
cognition;
diagnosis;
diagnostic errors;
lab interpretation;
physical examination
Artikel in diesem Heft
- Frontmatter
- Reviews
- An overview of mental health during the COVID-19 pandemic
- Potential mechanisms of action of convalescent plasma in COVID-19
- Mini Review
- Gap of knowledge in diagnosis of pyoderma gangrenosum in clinical specialties education
- Opinion Papers
- Learning clinical reasoning from the fictional detectives
- Integrating infection and sepsis management through holistic early warning systems and heuristic approaches: a concept proposal
- (F)utility of urine Bence Jones proteins for “routine” screening for plasma cell dyscrasia
- COVID-19 and the Le Chatelier’s principle
- Original Articles
- Are sniffer dogs a reliable approach for diagnosing SARS-CoV-2 infection?
- Using body temperature and variables commonly available in the EHR to predict acute infection: a proof-of-concept study showing improved pretest probability estimates for acute COVID-19 infection among discharged emergency department patients
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