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FRAMED: a framework facilitating insight problem solving
Sho Isoda1, Taro Shimizu2, Tomio Suzuki1
1Department of General Medicine, 38588 Osaka Medical and Pharmaceutical University Hospital , Takatsuki, Japan.
Abstract:
Insight has been studied as an element of problem solving in the field of cognitive psychology and may play an important role in clinical reasoning. We propose a new strategy based on theories that promote insight that may help generate further diagnostic hypotheses by reviewing the interpretation of a case and an individual's list of differential diagnoses from multiple perspectives: formation (F), re-encoding (R), analogy (A), modification (M), elaboration (E), and deliberation (D) (FRAMED). The FRAMED strategy may help clinicians overcome misinterpretations and cognitive bias by systematically reflecting on previous clinical reasoning processes from multiple perspectives.
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