scholarly journals Clinical reasoning in veterinary practice

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Claire Elaine Kirsty Vinten
Keyword(s):  
Working Memory ◽  
Pattern Recognition ◽  
Problem Solving ◽  
Clinical Reasoning ◽  
Treatment Options ◽  
Veterinary Surgeons ◽  
Clinical Reasoning Skill ◽  
Memory Type ◽  
The Brain ◽  
Reasoning Skill

Abstract Clinical reasoning is the process by which veterinary surgeons integrate a multitude of clinical and contextual factors to make decisions about the diagnoses, treatment options and prognoses of their patients. The brain utilises two methods to achieve this: type one and type two reasoning. Type one relies on shortcuts such as pattern-recognition and heuristics to deduce answers without involving working memory. Type two uses working memory to deliberately compute logical analyses. Both reasoning methods have sources of errors, and research has shown that diagnostic accuracy is increased when they are used together when problem-solving. Despite this, it appears unlikely that clinical reasoning ‘skill’ can be improved; instead, the most effective way to improve reasoning performance experimentally appears to be by increasing and rearranging knowledge. As yet, there is no evidence that overall clinical reasoning error can be reduced in practice.  

Clinical Reasoning in Occupational Therapy: Idiosyncrasies in Content and Process

1996 ◽  
Vol 59 (8) ◽  
pp. 372-376 ◽  
Author(s):  
Anne Elizabeth Roberts
Keyword(s):  
Pattern Recognition ◽  
Problem Solving ◽  
Qualitative Study ◽  
Occupational Therapy ◽  
Clinical Reasoning ◽  
Deductive Reasoning ◽  
Occupational Therapists ◽  
Medical Problem ◽  
Written Text ◽  
Component Processes

This article describes part of a research project that aims to examine the content and process of occupational therapists' reasoning. Thirty-eight experienced occupational therapists participated. This qualitative study gathered written text from the therapists, representing their thinking when presented with facsimiles of practice situations. Analysis of both the content of the reasoning and the component processes of the reasoning took place. The processes observed were similar to those observed in studies of medical problem solving. Some therapists demonstrated a rapid formulation of the problem, indicating the use of pattern recognition. There was also an element of hypothetico-deductive reasoning, as has been observed in medicine and physiotherapy. This article explores these findings, relating them to the research of other theorists in the field of reasoning and concluding with a discussion of some apparent idiosyncrasies in the participants' reasoning.

Musical Expression, Memory, and the Brain

2013 ◽  
Author(s):  
Jay Schulkin
Keyword(s):  
Working Memory ◽  
Problem Solving ◽  
Motor Planning ◽  
Evolutionary Trend ◽  
Evolutionary Perspective ◽  
Musical Expression ◽  
Sensory Experiences ◽  
Musical Cognition ◽  
Social Expression ◽  
The Brain

This chapter examines the issue of musical sensibility as an instinct as well as the cognitive and neural capabilities that underlie musical expression, including diverse forms of memory. In particular, it considers working memory as an evolutionary trend that expanded our problem solving and social expression. The chapter first provides an overview of the link between musical sensibility and social instincts from an evolutionary perspective before discussing how music is inherently tied to movement and time, along with cognitive events, adaptation, sensory experiences, and emotional sensations. It also describes musical cognition and cognitive motor planning memory as inherent features of musical sensibility, and how musical experience affects the brain.

Does It Matter if You “Kill” the Patient or Order Too Many Tests? Scoring Alternatives for a Test of Clinical Reasoning Skill

2007 ◽  
Vol 7 (2) ◽  
pp. 127-139 ◽  
Author(s):  
Ruth A. Childs ◽  
Jennifer L. Dunn ◽  
Christina van Barneveld ◽  
Andrew P. Jaciw
Keyword(s):  
Clinical Reasoning ◽  
Clinical Reasoning Skill ◽  
Reasoning Skill

scholarly journals KEMAMPUAN CLINICAL REASONING PADA UJIAN OSCE MAHASISWA KEDOKTERAN TAHUN KETIGA

2019 ◽  
Vol 7 (1) ◽  
pp. 26-33
Author(s):  
Diani Puspa Wijaya
Keyword(s):  
Medical Students ◽  
Clinical Reasoning ◽  
Clinical Case ◽  
Cross Sectional ◽  
The Third ◽  
Clinical Reasoning Skill ◽  
Reasoning Skills ◽  
Written Test ◽  
Clinical Reasoning Skills ◽  
Reasoning Skill

ABSTRACT Background : Clinical reasoning is one of the clinical skill competencies that must be owned by a doctor so it needs to be studied and tested. The OSCE is one method of assessment that can be used to assess the achievement of clinical reasoning. OSCE in the third year at Faculty of Medicine Islamic University of Indonesia (FM IUI)  has been using clinical case OSCE so that can be used to assess clinical reasoning skill in addition to others clinical skills such as   physical examination and clinical procedural skills. This study aimed to evaluate the clinical reasoning skills of students in the third year of the OSCE exam at FM IUI. Methods : The cross sectional study method was used in this study. OSCE test result semesters 5 and 6 of the academic year 2015/2016 collected. Clinical reasoning skills of students in  OSCE obtained from the score of the diagnosis ability in clinical case OSCE station. The difference between clinical reasoning skill on each  OSCE station and its correlation with the written test on the corresponding block were analyzed. Results: There is differences between clinical reasoning skill in OSCE stations semester 5 and 6. There was no relationship between the score clinical reasoning skills  at the OSCE  with written test achievement on the corresponding block. Conclusion: The clinical reasoning skills on the OSCE  semesters 5 and 6 do not illustrate the clinical reasoning skills of third-year medical students in this study. This study supports the need for   further development of the assessment of clinical reasoning skills on the OSCE  for medical students. Keywords : clinical reasoning, OSCE, medical student   ABSTRAK Latar Belakang: Penalaran klinis atau clinical reasoning merupakan salah satu kompetensi keterampilan klinis yang harus dimiliki oleh seorang dokter sehingga perlu dipelajari dan diujikan. OSCE merupakan salah satu metode assessment yang dapat digunakan untuk menilai pencapaian clinical reasoning. OSCE pada tahun ketiga di FK UII telah menggunakan kasus klinis untuk dapat juga menilai clinical reasoning disamping keterampilan klinis yang lain seperti  pemeriksaan fisik dan tindakan prosedural.   Penelitian ini bertujuan mengevaluasi kemampuan clinical reasoning mahasiswa kedokteran pada ujian OSCE tahun ketiga di FK UII. Metode : Metode yang digunakan adalah cross sectional dari hasil ujian OSCE semester 5 dan 6 tahun akademik 2015/2016. Kemampuan clinical reasoning mahasiswa pada ujian OSCE didapatkan dari nilai kemampuan menegakkan diagnosis pada stasion OSCE yang berupa manajemen kasus klinis. Nilai OSCE direkap pada semua mahasiswa yang mengikuti ujian  pada periode tersebut. Analisis dilakukan dengan melihat perbedaan kemampuan clinical reasoning antar station OSCE dan menilai korelasinya dengan ujian tulis pada blok yang bersesuain . Hasil: Terdapat perbedaan kemampuan clinical reasoning antar stasion OSCE baik di semester ke 5 maupun ke 6. Tidak terdapat hubungan antara nilai kemampuan diagnosis pada ujian OSCE dengan pencapaian nilai ujian tulis blok yang berkaitan dengan konten OSCE yang diujikan. Kesimpulan: Kemampuan diagnosis pada ujian OSCE semester 5 dan 6 tidak menggambarkan kemampuan clinical reasoning mahasiswa tahun ketiga pada penelitian ini. Diperlukan evaluasi dan pengembangan lebih lanjut mengenai penilaian dan pencapaian kemampuan clinical reasoning pada ujian OSCE bagi  mahasiswa kedokteran. Kata kunci : clinical reasoning, OSCE, mahasiswa kedokteran

The Prediction of Problem-Solving Assessed Via Microworlds

2016 ◽  
Vol 32 (4) ◽  
pp. 298-306 ◽  
Author(s):  
Samuel Greiff ◽  
Katarina Krkovic ◽  
Jarkko Hautamäki
Keyword(s):  
Working Memory ◽  
Problem Solving ◽  
Complex Problem ◽  
Two Dimensions ◽  
Assessment Instruments ◽  
Complex Problem Solving ◽  
Visual Spatial ◽  
Rule Knowledge ◽  
Rule Application ◽  
Fluid Reasoning

Abstract. In this study, we explored the network of relations between fluid reasoning, working memory, and the two dimensions of complex problem solving, rule knowledge and rule application. In doing so, we replicated the recent study by Bühner, Kröner, and Ziegler (2008) and the structural relations investigated therein [ Bühner, Kröner, & Ziegler, (2008) . Working memory, visual-spatial intelligence and their relationship to problem-solving. Intelligence, 36, 672–680]. However, in the present study, we used different assessment instruments by employing assessments of figural, numerical, and verbal fluid reasoning, an assessment of numerical working memory, and a complex problem solving assessment using the MicroDYN approach. In a sample of N = 2,029 Finnish sixth-grade students of which 328 students took the numerical working memory assessment, the findings diverged substantially from the results reported by Bühner et al. Importantly, in the present study, fluid reasoning was the main source of variation for rule knowledge and rule application, and working memory contributed only a little added value. Albeit generally in line with previously conducted research on the relation between complex problem solving and other cognitive abilities, these findings directly contrast the results of Bühner et al. (2008) who reported that only working memory was a source of variation in complex problem solving, whereas fluid reasoning was not. Explanations for the different patterns of results are sought, and implications for the use of assessment instruments and for research on interindividual differences in complex problem solving are discussed.

scholarly journals Working Memory, Fluid Reasoning, and Complex Problem Solving: Different Results Explained by the Brunswik Symmetry

2021 ◽  
Vol 9 (1) ◽  
pp. 5
Author(s):  
André Kretzschmar ◽  
Stephan Nebe
Keyword(s):  
Working Memory ◽  
Problem Solving ◽  
Cognitive Abilities ◽  
Latent Variables ◽  
Complex Problem ◽  
Equation Modeling ◽  
Complex Problem Solving ◽  
Symmetry Principle ◽  
Fluid Reasoning ◽  
The Impact

In order to investigate the nature of complex problem solving (CPS) within the nomological network of cognitive abilities, few studies have simultantiously considered working memory and intelligence, and results are inconsistent. The Brunswik symmetry principle was recently discussed as a possible explanation for the inconsistent findings because the operationalizations differed greatly between the studies. Following this assumption, 16 different combinations of operationalizations of working memory and fluid reasoning were examined in the present study (N = 152). Based on structural equation modeling with single-indicator latent variables (i.e., corrected for measurement error), it was found that working memory incrementally explained CPS variance above and beyond fluid reasoning in only 2 of 16 conditions. However, according to the Brunswik symmetry principle, both conditions can be interpreted as an asymmetrical (unfair) comparison, in which working memory was artificially favored over fluid reasoning. We conclude that there is little evidence that working memory plays a unique role in solving complex problems independent of fluid reasoning. Furthermore, the impact of the Brunswik symmetry principle was clearly demonstrated as the explained variance in CPS varied between 4 and 31%, depending on which operationalizations of working memory and fluid reasoning were considered. We argue that future studies investigating the interplay of cognitive abilities will benefit if the Brunswik principle is taken into account.

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