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Examining the Patterns of Uncertainty Across Clinical Reasoning Tasks: Effects of Contextual Factors on the Clinical Reasoning Process by Divya Ramani; Michael Soh; Jerusalem Merkebu; Steven J. Durning; Alexis Battista; Elexis McBee; Temple Ratcliffe; Abigail Konopasky is a Medicine article available to read on EtoBox.
What is Examining the Patterns of Uncertainty Across Clinical Reasoning Tasks: Effects of Contextual Factors on the Clinical Reasoning Process about?
## Abstract ## Objectives Uncertainty is common in clinical reasoning given the dynamic processes required to come to a diagnosis. Though some uncertainty is expected during clinical encounters, it can have detrimental effects on clinical reasoning. Likewise, evidence has established the potentially detrimental effects of the presence of distracting contextual factors (i.e., factors other than case content needed to establish a diagnosis) in a clinical encounter on clinical reasoning. The purpose of this study was to examine how linguistic markers of uncertainty overlap with different clinical reasoning tasks and how distracting contextual factors might affect physicians’ clinical reasoning process. ## Methods In this descriptive exploratory study, physicians participated in a live or video recorded simulated clinical encounter depicting a patient with unstable angina with and without contextual factors. Transcribed think-aloud reflections were coded using Goldszmidt’s clinical reasoning task typology (26 tasks encompassing the domains of framing, diagnosis, management, and reflection) and then those coded categories were examined using linguistic markers of uncertainty (e.g., prob
Who reads Examining the Patterns of Uncertainty Across Clinical Reasoning Tasks: Effects of Contextual Factors on the Clinical Reasoning Process?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Divya Ramani; Michael Soh; Jerusalem Merkebu; Steven J. Durning; Alexis Battista; Elexis McBee; Temple Ratcliffe; Abigail Konopasky
- Publisher
- Walter de Gruyter GmbH
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)