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Therapeutic reasoning: from hiatus to hypothetical model
Sanjay W Bissessur1, Eric C T Geijteman, Muhammad Al-Dulaimy
1Department of Clinical Pharmacology and Pharmacy, VU University Medical Center, Amsterdam, the Netherlands.
Journal of Evaluation in Clinical Practice
|April 7, 2010
Summary
This study introduces a hypothetical model for therapeutic reasoning, enhancing medical education in patient management. It addresses the gap in understanding how clinicians decide on treatments after diagnosis.
Area of Science:
- Medical Education
- Clinical Reasoning
- Cognitive Science
Background:
- Clinical reasoning is critical for diagnosis and patient management.
- Most research focuses on diagnostic reasoning, leaving therapeutic reasoning underexplored.
- This gap hinders theoretical development for medical education in patient management.
Purpose of the Study:
- To develop a hypothetical model of therapeutic reasoning.
- To enhance medical education, training, and refresher courses concerning therapeutic decision-making.
- To provide a theoretical basis for patient management education.
Main Methods:
- Conducted a literature search on clinical reasoning.
- Developed a hypothetical model of therapeutic reasoning based on existing literature.
- Synthesized findings from diagnostic and therapeutic reasoning research.
Main Results:
- Therapeutic reasoning is initiated by 'therapy scripts' elicited by patient cases.
- Therapy scripts encompass treatments, knowledge, and clinical experiences.
- Analytical and non-analytical processes refine and adapt therapy scripts for final treatment selection.
Conclusions:
- A hypothetical model for therapeutic reasoning has been proposed.
- This model aims to improve medical education in therapeutic decision-making.
- Future research should validate this model empirically across medical education levels.
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