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  • 标题:Does management reasoning constitute the backbone of the clinical learning environment?: Conceptual analysis of the existing notions
  • 本地全文:下载
  • 作者:DINESH KUMAR V ; ANEESH BASHEER
  • 期刊名称:Journal of Advances in Medical Education and Professionalism
  • 印刷版ISSN:2322-2220
  • 电子版ISSN:2322-3561
  • 出版年度:2021
  • 卷号:9
  • 期号:1
  • 页码:54-58
  • DOI:10.30476/jamp.2020.84431.1138
  • 语种:English
  • 出版社:Shiraz University of Medical Sciences
  • 摘要:Management reasoning is a paradigm whereby learning occurs in a context bound fashion on analysing the biophysical factors existing in the clinical learning environment. In the contemporary medical education forums, much importance is being laid on clinical reasoning and this warrants the appropriate usage of the biomedical knowledge in arriving at the diagnosis. We perceive that clinical reasoning, in pure sense, often doesn’t solve the purpose of rendering the best management plan to the patient. This holds stronger when the case is non-linear and highly complex in nature. Management reasoning flls the gap between hypotheses generation, i.e. accomplishing diagnosis and devising management plan. Indeed, it is a complex activity relying on several factors including the physician’s perceptual abilities and situated cognition derived from formal and informal learning experiences. In contrast to clinical reasoning, which can be taught using structured scenarios, management reasoning necessitates analysing multitude of factors revolving around a patient and prioritizing those in order to titrate the best possible management plan. This commentary spotlights different dimensions of management reasoning, emphasizes the need of teaching it in the current scenarios, enlists the ways it can be taught, and opens the platform for discussing further on this underemphasized topic.
  • 关键词:Clinical reasoning;Decision making;Social determinants
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