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Learning clinical reasoning from the fictional detectives
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Robert M. Centor
and
Alonso I. Heudebert
Published/Copyright:
December 18, 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.Search 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.Search 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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Keywords for this article
clinical reasoning;
cognition;
diagnosis;
diagnostic errors;
lab interpretation;
physical examination
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