Science is fundamental: the role of biomedical knowledge in clinical reasoning

Context  Although training in basic science is generally considered a critical aspect of medical education, there is little consensus regarding its precise role in clinical reasoning. Whereas some reports suggest that biomedical knowledge is rarely used in routine diagnosis, other research has found that biomedical knowledge can become an integral part of the expert knowledge base.

[1]  Timothy D. Wilson,et al.  Telling more than we can know: Verbal reports on mental processes. , 1977 .

[2]  V L Patel,et al.  Biomedical knowledge in explanations of clinical problems by medical students , 1988, Medical education.

[3]  L D Gruppen,et al.  Differential diagnosis and the competing-hypotheses heuristic. A practical approach to judgment under uncertainty and Bayesian probability. , 1985, JAMA.

[4]  Frederick W. Oehme,et al.  Clinical reasoning in the health professions , 1996 .

[5]  Speed kills? Speed, accuracy, encapsulations and causal understanding , 2006, Medical education.

[6]  Sian L. Beilock,et al.  Haste does not always make waste: Expertise, direction of attention, and speed versus accuracy in performing sensorimotor skills , 2004, Psychonomic bulletin & review.

[7]  K. Matsui,et al.  Quantitative evaluation of the diagnostic thinking process in medical students , 2002, Journal of General Internal Medicine.

[8]  Vimla L. Patel,et al.  Reconciling basic science and clinical reasoning , 1989 .

[9]  Vimla L. Patel,et al.  Knowledge Based Solution Strategies in Medical Reasoning , 1986, Cogn. Sci..

[10]  Geoffrey R. Norman,et al.  The Non-Analytical Basis of Clinical Reasoning , 1997, Advances in health sciences education : theory and practice.

[11]  Sofie M. M. Loyens,et al.  The Role of Biomedical Knowledge in Clinical Reasoning: A Lexical Decision Study , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[12]  Nicole N Woods,et al.  The value of basic science in clinical diagnosis: creating coherence among signs and symptoms , 2005, Medical education.

[13]  Nicole N Woods,et al.  The role of biomedical knowledge in diagnosis of difficult clinical cases , 2007, Advances in health sciences education : theory and practice.

[14]  Sofie M. M. Loyens,et al.  The role of encapsulated knowledge in clinical case representations of medical students and family doctors , 2004, Medical education.

[15]  Geoffrey R. Norman,et al.  The Value of Basic Science in Clinical Diagnosis , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[16]  Henk G. Schmidt,et al.  Biomedical knowledge: encapsulated or two worlds apart? , 2005 .

[17]  F J Papa,et al.  The effects of various knowledge formats on diagnostic performance , 1994, Academic medicine : journal of the Association of American Medical Colleges.

[18]  J P Kassirer,et al.  What is a differential diagnosis? , 1990, Hospital practice.

[19]  V. Patel,et al.  Domain Knowledge and Hypothesis Genenation in Diagnostic Reasoning , 1990, Medical decision making : an international journal of the Society for Medical Decision Making.

[20]  Ulrich Hoffrage,et al.  Teaching Bayesian reasoning: an evaluation of a classroom tutorial for medical students , 2002, Medical teacher.

[21]  Nicole N Woods,et al.  It all make sense: biomedical knowledge, causal connections and memory in the novice diagnostician , 2007, Advances in health sciences education : theory and practice.

[22]  Douglas L. Medin,et al.  On the Interaction of Theory and Data in Concept Learning , 1994, Cogn. Sci..