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FRAMED: a framework facilitating insight problem solving

  • Sho Isoda ORCID logo EMAIL logo , Taro Shimizu and Tomio Suzuki
Published/Copyright: February 23, 2024
Diagnosis
From the journal Diagnosis Volume 11 Issue 3

Abstract

Insight has been studied as an element of problem solving in the field of cognitive psychology and may play an important role in clinical reasoning. We propose a new strategy based on theories that promote insight that may help generate further diagnostic hypotheses by reviewing the interpretation of a case and an individual’s list of differential diagnoses from multiple perspectives: formation (F), re-encoding (R), analogy (A), modification (M), elaboration (E), and deliberation (D) (FRAMED). The FRAMED strategy may help clinicians overcome misinterpretations and cognitive bias by systematically reflecting on previous clinical reasoning processes from multiple perspectives.

Keywords: insight; insight problem solving; cognitive process; clinical reasoning; diagnostic strategy; diagnostic excellence
Corresponding author: Sho Isoda, Department of General Medicine, Osaka Medical and Pharmaceutical University Hospital, 2-7 Daigakumachi, Takatsuki-shi, Osaka-fu, Japan, E-mail:

  1. Research ethics: Not applicable.

  2. Informed consent: Not applicable.

  3. Author contributions: The authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: The authors state no conflict of interest.

  5. Research funding: None declared.

  6. Data availability: Not applicable.

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Received: 2023-10-25
Accepted: 2024-01-19
Published Online: 2024-02-23

© 2024 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

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  2. Editorial
  3. The growing threat of hijacked journals
  4. Review
  5. Effects of SNAPPS in clinical reasoning teaching: a systematic review with meta-analysis of randomized controlled trials
  6. Mini Review
  7. Diagnostic value of D-dimer in differentiating multisystem inflammatory syndrome in Children (MIS-C) from Kawasaki disease: systematic literature review and meta-analysis
  8. Opinion Papers
  9. Masquerade of authority: hijacked journals are gaining more credibility than original ones
  10. FRAMED: a framework facilitating insight problem solving
  11. Algorithms in medical decision-making and in everyday life: what’s the difference?
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  21. Short Communications
  22. Can ChatGPT-4 evaluate whether a differential diagnosis list contains the correct diagnosis as accurately as a physician?
  23. Analysis of thicknesses of blood collection needle by scanning electron microscopy reveals wide heterogeneity
  24. Letters to the Editor
  25. For any disease a human can imagine, ChatGPT can generate a fake report
  26. The dilemma of epilepsy diagnosis in Pakistan
  27. The Japanese universal health insurance system in the context of diagnostic equity
  28. Case Report – Lessons in Clinical Reasoning
  29. Lessons in clinical reasoning – pitfalls, myths, and pearls: a case of tarsal tunnel syndrome caused by an intraneural ganglion cyst
https://doi.org/10.1515/dx-2023-0152
Keywords for this article
insight; insight problem solving; cognitive process; clinical reasoning; diagnostic strategy; diagnostic excellence

Articles in the same Issue

  1. Frontmatter
  2. Editorial
  3. The growing threat of hijacked journals
  4. Review
  5. Effects of SNAPPS in clinical reasoning teaching: a systematic review with meta-analysis of randomized controlled trials
  6. Mini Review
  7. Diagnostic value of D-dimer in differentiating multisystem inflammatory syndrome in Children (MIS-C) from Kawasaki disease: systematic literature review and meta-analysis
  8. Opinion Papers
  9. Masquerade of authority: hijacked journals are gaining more credibility than original ones
  10. FRAMED: a framework facilitating insight problem solving
  11. Algorithms in medical decision-making and in everyday life: what’s the difference?
  12. Original Articles
  13. Computerized diagnostic decision support systems – a comparative performance study of Isabel Pro vs. ChatGPT4
  14. Comparative analysis of diagnostic accuracy in endodontic assessments: dental students vs. artificial intelligence
  15. Assessing the Revised Safer Dx Instrument® in the understanding of ambulatory system design changes for type 1 diabetes and autism spectrum disorder in pediatrics
  16. The Big Three diagnostic errors through reflections of Japanese internists
  17. SASAN: ground truth for the effective segmentation and classification of skin cancer using biopsy images
  18. Computable phenotype for diagnostic error: developing the data schema for application of symptom-disease pair analysis of diagnostic error (SPADE)
  19. Development of a disease-based hospital-level diagnostic intensity index
  20. HbA1c and fasting plasma glucose levels are equally related to incident cardiovascular risk in a high CVD risk population without known diabetes
  21. Short Communications
  22. Can ChatGPT-4 evaluate whether a differential diagnosis list contains the correct diagnosis as accurately as a physician?
  23. Analysis of thicknesses of blood collection needle by scanning electron microscopy reveals wide heterogeneity
  24. Letters to the Editor
  25. For any disease a human can imagine, ChatGPT can generate a fake report
  26. The dilemma of epilepsy diagnosis in Pakistan
  27. The Japanese universal health insurance system in the context of diagnostic equity
  28. Case Report – Lessons in Clinical Reasoning
  29. Lessons in clinical reasoning – pitfalls, myths, and pearls: a case of tarsal tunnel syndrome caused by an intraneural ganglion cyst
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