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Updated: Apr 15, 2026
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Author Spotlight: A Novel Setup to Conduct Naturalistic Laboratory Experiments with Real Human Actors in Scenarios
Published on: August 4, 2023
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Using ethnographic fieldwork to cultivate situational awareness.
Koki Kato1, Junichiro Miyachi2, Yosuke Shimazono3
1Madoka Family Clinic, Ogori, Fukuoka, Japan.
Summary
Primary care clinicians can improve situational awareness by comparing clinical encounters with unfamiliar settings. This ethnographic approach sharpens clinical reasoning and decision-making by highlighting tacit knowledge and assumptions.
Area of Science:
- Medical Education
- Clinical Reasoning
- Ethnography
Background:
- Situational awareness is vital for clinical reasoning in primary care.
- Opportunities to explicitly develop situational awareness are limited for clinicians.
Purpose of the Study:
- To investigate a novel workshop approach for enhancing clinicians' situational awareness.
- To explore the role of ethnographic fieldwork and frame reflection in clinical practice.
Main Methods:
- A one-day workshop incorporating ethnographic fieldwork and 'frame reflection'.
- Participants engaged in quasi-clinical tasks in unfamiliar settings to compare with familiar clinical encounters.
Main Results:
- Participants recognized how taken-for-granted notions and tacit knowledge influence interpretations.
- The method helped identify missed clinical signs and contextual clues.
Conclusions:
- Ethnographic fieldwork in unfamiliar settings can enhance situational awareness.
- Comparative reflection broadens and sharpens clinical observation and interpretation skills.
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