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Learning Clinical Reasoning


Learning Clinical Reasoning uses a case-based approach to teach students the basics of clinical reasoning. The first section explains the chief components of the clinical reasoning process, such as generating and refining diagnostic hypotheses, using and interpreting diagnostic tests, assembling a working diagnosis, therapeutic decision-making, and examining and applying evidence, and also includes a discussion of cognitive errors. The second section contains 69 cases in which clinicians "think out loud" about diagnostic and therapeutic dilemmas, and the authors critique these clinicians' reasoning. This edition has thirty new cases from the "New England Journal of Medicine" and other sources and expanded discussions of evidence-based medicine, clinical practice guidelines, and cognitive errors.

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Table of Contents

Part I: THE PROCESSES OF CLINICAL REASONING 1: Overview 2: Diagnostic Hypothesis Generation 3: Refinement of Diagnostic Hypotheses 4: Use and Interpretation of Diagnostic Tests 5: Causal Reasoning 6: Diagnostic Verification 7: Therapeutic Decision Making 8: Examining Evidence 9: Cognitive Errors 10: Some Cognitive Concepts 11: Learning Clinical Problem Solving Part II: COGNITION AT THE BEDSIDE: A SET OF EXAMPLES 12: Introduction to the Cases 13: Diagnostic Hypothesis Generation 14: Refinement of Diagnostic Hypotheses 15: Use and Interpretation of Diagnostic Tests 16: Causal Reasoning 17: Diagnostic Verification 18: Therapeutic Decision Making 19: Examining Evidence 20: Cognitive Errors 21: Some Cognitive Concepts 22: Learning Clinical Problem Solving

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