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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

A model for reflection for good clinical practice.

John I Balla1, Carl Heneghan, Paul Glasziou

  • 1Centre for Evidence Based Medicine, Department of Primary Care, Old Road Campus, Headington Oxford OX3 7LF, UK. jballa@ozemail.com.au

Journal of Evaluation in Clinical Practice
|April 7, 2010
PubMed
Summary
This summary is machine-generated.

This study developed a model for clinical practice reflection, integrating intuitive and analytic thinking. The model helps practitioners update medical knowledge for better patient care decisions.

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Area of Science:

  • Medical Education
  • Cognitive Science
  • General Practice

Background:

  • The dynamic nature of medical knowledge necessitates continuous learning for practitioners.
  • Effective clinical practice relies on practitioners staying updated with the latest medical information.
  • A structured approach to reflection is crucial for identifying and integrating new knowledge.

Purpose of the Study:

  • To develop a reflective model for clinical practice.
  • To identify essential medical knowledge for optimal practitioner performance.
  • To align clinical thinking processes with established cognitive theories.

Main Methods:

  • Utilized the dual theory of cognition (intuitive and analytic processes) as a framework.
  • Conducted a one-year study with 35 general practitioners in Oxfordshire, UK.
  • Analyzed 72 clinical case discussions through semi-structured interviews, manual coding, and thematic analysis.

Main Results:

  • Demonstrated a strong congruence between the dual theory of cognition and practitioners' clinical thinking.
  • Identified an initial intuitive phase of problem framing, prioritizing risk and urgency.
  • Observed a subsequent reflective phase where initial judgments were reviewed and refined.

Conclusions:

  • The proposed model elucidates critical decision-making steps in clinical practice.
  • Facilitates regular recalibration of essential medical knowledge at each decision point.
  • Connects knowledge application in decision-making with patient-centered value judgments.