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Clinical decision making in acute medicine
1Clinical Reader, Centre for Medical Education, Queen's University, Belfast and Consultant in Acute Medicine, Royal Victoria Hospital, Belfast.
Abstract:
Clinical decision-making is a core skill for the practice of medicine and yet during training there is often little formal analysis of the process of clinical reasoning or instruction about how to do it better. This paper reviews the process of clinical decision-making with a particular focus on diagnostic reasoning. Aspects of psychology and philosophy are applied to the process along with consideration of potential sources of error and the steps that can be taken to minimize this.
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