Clinical Reasoning Articles

Below are a selection of articles on clinical reasoning.

General Articles

• Going with your gut - Dhaliwal 2010
• Clinical excellence make it a habit - Dhaliwal 2012
• Premature closure not to fast - Dhaliwal 2016
• Diagnostic excellence the incessant watch - Dhaliwal 2017
• The approach to a diagnostic dilemma - Lichstein 2018
• Digital tools to enhance clinical reasoning - Manesh 2017
• The evolution of the master diagnostician - dhaliwal 2013
• Radiologic errors past present and future - Berlin 2014
• Using the Chief Complaint Driven Medical History - Nierenberg 2020
• How to Create a Differential Diagnosis

Clinical Reasoning Practice

The final diagnosis is intentionally not listed in the title in order to aid in practice. They are either musculoskeletal cases or are general medical but convey an important concept in clinical reasoning.

• JGIM Introduction to exercises in clinical reasoning
• The writing on the wall
• Off trail, on track
• Keeping a flexible differential diagnosis
• Pivot and cluster - Not MSK but shows a useful clinical reasoning technique
• Back attack
• Spine pain following motor vehicle accident
• Shoulder pain after fall
• Bilateral upper limb pain and weakness
• Paediatric right sided pain and weakness
• Bilateral leg pain
• Bilateral wrist pain and weight loss
• Unilateral facial pain
• Bilateral foot pain with palmar rash
• Burning hands and feet

Teaching Clinical Reasoning

• The assessment of reasoning tool (ART) - Thammasitboon 2018
• 12 tips for teaching clinical reasoning - Rencic 2011
• Clinical reasoning talk the talk or just walk the walk - Dhaliwal 2016
• The future comes early for medical educators - Minter 2020
• The greatest generation - Dhaliwal 2015

Problem Representation

Main article: Problem Representation

• Promoting diagnostic problem representation - Nendaz 2002
• Prototypes and semantic qualifiers from past to present - Bordage 2007
• Cognition Confidence and Clinical Skills - Chang 1998
• Educational Strategies to Promote Clinical Diagnostic Reasoning - Cox 2006
• JGIM Problem Representation Overview

Illness Scripts

Main article: Illness Scripts

• Scripts and clinical reasoning - Charlin 2007
• Media:Scripts and Medical Diagnostic Knowledge - Charlin 2000.pdf
• How expertise develops in medicine: knowledge encapsulation and illness scripts - Schmidt 2007
• Thirty years of illness scripts - Custers 2014
• Educational Strategies to Promote Clinical Diagnostic Reasoning - Cox 2006
• Illness Scripts Overview - JGIM

Dual Process Theory

Main article: Dual Process Theory

• Media:Klein2008_Naturalistic_Decision_Making.pdf
• Media:Eva2005_What_every_teacher_needs_to_know_about_clinical_reasoning.pdf
• Media:Monteiro2013_Diagnostic_Reasoning_Where_We've_Been,_Where_We’re_Going.pdf
• Media:Schmidt1990_A_cognitive_perspective_on_medical_expertise.pdf
• Media:Elstein2002_Clinical_problem_solving_and_diagnostic_decision_making.pdf
• Media:Mccormick1986_Diagnosis_the_need_for_demystification.pdf
• Media:Mamede2010_Conscious_thought_beats_deliberation_without_attention_when_you_are_an_expert.pdf