Consequences of contextual factors on clinical reasoning in resident physicians

Advances in Health Sciences Education : Theory and Practice
Elexis McBeeSteven Durning

Abstract

Context specificity and the impact that contextual factors have on the complex process of clinical reasoning is poorly understood. Using situated cognition as the theoretical framework, our aim was to evaluate the verbalized clinical reasoning processes of resident physicians in order to describe what impact the presence of contextual factors have on their clinical reasoning. Participants viewed three video recorded clinical encounters portraying straightforward diagnoses in internal medicine with select patient contextual factors modified. After watching each video recording, participants completed a think-aloud protocol. Transcripts from the think-aloud protocols were analyzed using a constant comparative approach. After iterative coding, utterances were analyzed for emergent themes with utterances grouped into categories, themes and subthemes. Ten residents participated in the study with saturation reached during analysis. Participants universally acknowledged the presence of contextual factors in the video recordings. Four categories emerged as a consequence of the contextual factors: (1) emotional reactions (2) behavioral inferences (3) optimizing the doctor patient relationship and (4) difficulty with closure of the clini...Continue Reading

References

Sep 1, 1985·Medical Education·G R NormanL L Jacoby
Mar 29, 2001·Psychological Science·L R BrooksG R Norman
Dec 23, 2004·Medical Education·Kevin W Eva
Nov 30, 2007·Medical Education·Bernard CharlinPaul J Feltovich
Mar 28, 2008·The Journal of Continuing Education in the Health Professions·Ronald M EpsteinJordan Silberman
Nov 15, 2008·Journal of Neurology·S SimioniM Schluep
Apr 7, 2010·Journal of Evaluation in Clinical Practice·Sanjay W BissessurThep P G M de Vries
Apr 21, 2011·Advances in Health Sciences Education : Theory and Practice·Steven J DurningLambert Schuwirth
Aug 19, 2011·Medical Education·Steven DurningLambert Schuwirth
Jan 1, 2008·Occupational Therapy in Health Care·Riitta Keponen, Helena Launiainen
Mar 7, 2014·Medical Teacher·John Q YoungOlle Ten Cate

❮ Previous
Next ❯

Citations

Apr 11, 2017·International Emergency Nursing·Christopher PrestonLucy Bray
Dec 17, 2017·BMC Medical Education·Desirée KozlowskiJoanna Sutherland
Apr 29, 2018·Perspectives on Medical Education·Elexis McBeeSteven J Durning
Nov 30, 2018·Physical Therapy·Karen HuhnNicole Christensen
Jan 31, 2018·The Journal of Nursing Education·Mary Ann Jessee
Aug 30, 2019·Medical Education·Abigail KonopaskyAlexis Battista
Feb 11, 2020·Journal of General Internal Medicine·Jonathan D BaghdadiRobert Brook
May 14, 2020·Medical Education·Charilaos KoufidisCharlotte Silén
Apr 24, 2020·Diagnosis·Michael SohJerusalem Merkebu
Sep 6, 2018·Korean journal of medical education·Kangmoon Kim, Young-Mee Lee
May 31, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Suzette Cooke, Jean-Francois Lemay
Aug 8, 2020·Advances in Simulation·Timothy J ClearyAnthony R Artino
May 2, 2021·Medical Education·Charilaos KoufidisCharlotte Silén
Aug 24, 2021·Frontiers in Psychiatry·Natalia Widiasih RaharjantiMonika Kristi Levania

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.