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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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How Do Contexts Affect Physicians' Clinical Reasoning? A Narrative Review.

Alice Mason¹, Rachel Locke², Rosie M Lusznat³

¹Royal Hampshire County Hospital.

Mededpublish (2016)

|December 7, 2023

Summary

This summary is machine-generated.

Physician clinical reasoning is influenced by context. Patient, physician, and environmental factors impact diagnostic skills, highlighting the need for further research into cognitive load.

Keywords:

Clinical reasoning context

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Area of Science:

Medical Education
Cognitive Psychology
Clinical Practice

Background:

Clinical reasoning research traditionally focused on individual physician abilities.
Emerging evidence suggests clinical reasoning is context-dependent.
This review examines how contextual factors influence physician clinical reasoning.

Approach:

Conducted a narrative literature review using PubMed, PsycINFO, and Embase.
Searched for studies on clinical/critical thinking, judgment, or reasoning.
Included 25 relevant studies from over 22,000 initial results.

Key Points:

Contextual factors influencing clinical reasoning include patient-specific elements, physician characteristics (experience, emotions), and environmental settings (time pressure, uncertainty).
Most reviewed studies focused on diagnostic reasoning.
The impact of multiple contextual factors on cognitive load was explored.

Conclusions:

Context significantly affects physician clinical reasoning abilities.
Further research is needed to identify specific positive/negative contextual impacts and the effects of combined contextual factors on cognitive load.
Empirical investigation is required to understand the practical implications of these findings.