How insight contributes to diagnostic excellence
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Taro Shimizu
and
Mark Graber
Abstract
In the quest to improve diagnosis, a great deal of attention has already been focused on how to optimize clinical reasoning, and the importance of System 1 and System 2 processing. In this essay we consider the role of ‘insight’, a relatively overlooked pathway for arriving at the correct diagnosis. Insight refers to spontaneous emergence of the correct answer at some later point in time. We discuss factors that might facilitate insight, and how these could be incorporated into the diagnostic process.
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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.
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Informed consent: Not applicable.
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Ethical approval: Not applicable.
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© 2022 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Review
- Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities
- Mini Review
- Homocysteine in coronavirus disease (COVID-19): a systematic literature review
- Opinion Paper
- How insight contributes to diagnostic excellence
- Original Articles
- Diagnostic statements: a linguistic analysis of how clinicians communicate diagnosis
- The use of podcasts as a tool to teach clinical reasoning: a pseudorandomized and controlled study
- Diagnostic delays in infectious diseases
- Diagnostic journeys: characterization of patients and diagnostic outcomes from an academic second opinion clinic
- A pause in pediatrics: implementation of a pediatric diagnostic time-out
- Applying a diagnostic excellence framework to assess opportunities to improve recognition of child physical abuse
- Identifying predictors for source culture positivity in children with acute musculoskeletal infections
- Comparison of SARS-CoV-2 antigen electrochemiluminescence immunoassay to RT-PCR assay for laboratory diagnosis of COVID-19 in Peshawar
- Performance evaluation of automated cell counts compared with reference methods for body fluid analysis
- Short Communication
- Impact of subspecialty consultations on diagnosis in the pediatric intensive care unit
- Case Report - Lessons in Clinical Reasoning
- Pharmacists can improve diagnosis and help prevent diagnostic errors
- Letter to the Editors
- The art of diagnostic reasoning
- Improving the physical exam: a new assessment and evaluation tool for physical examination skills
- Performance of the Wondfo 2019-nCoV antigen test using self-collected nasal versus professional-collected nasopharyngeal swabs in symptomatic SARS-CoV-2 infection
Articles in the same Issue
- Frontmatter
- Review
- Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities
- Mini Review
- Homocysteine in coronavirus disease (COVID-19): a systematic literature review
- Opinion Paper
- How insight contributes to diagnostic excellence
- Original Articles
- Diagnostic statements: a linguistic analysis of how clinicians communicate diagnosis
- The use of podcasts as a tool to teach clinical reasoning: a pseudorandomized and controlled study
- Diagnostic delays in infectious diseases
- Diagnostic journeys: characterization of patients and diagnostic outcomes from an academic second opinion clinic
- A pause in pediatrics: implementation of a pediatric diagnostic time-out
- Applying a diagnostic excellence framework to assess opportunities to improve recognition of child physical abuse
- Identifying predictors for source culture positivity in children with acute musculoskeletal infections
- Comparison of SARS-CoV-2 antigen electrochemiluminescence immunoassay to RT-PCR assay for laboratory diagnosis of COVID-19 in Peshawar
- Performance evaluation of automated cell counts compared with reference methods for body fluid analysis
- Short Communication
- Impact of subspecialty consultations on diagnosis in the pediatric intensive care unit
- Case Report - Lessons in Clinical Reasoning
- Pharmacists can improve diagnosis and help prevent diagnostic errors
- Letter to the Editors
- The art of diagnostic reasoning
- Improving the physical exam: a new assessment and evaluation tool for physical examination skills
- Performance of the Wondfo 2019-nCoV antigen test using self-collected nasal versus professional-collected nasopharyngeal swabs in symptomatic SARS-CoV-2 infection
