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Am J Med. 2017 Jun;130(6):629-634. doi: 10.1016/j.amjmed.2017.01.045. Epub 2017 Feb 24.

How Expert Clinicians Intuitively Recognize a Medical Diagnosis.

Author information

1
Department of Internal Medicine, Eastern Virginia Medical School and Sentara Healthcare, Norfolk, Va. Electronic address: jebrush@me.com.
2
Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
3
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.

Abstract

Research has shown that expert clinicians make a medical diagnosis through a process of hypothesis generation and verification. Experts begin the diagnostic process by generating a list of diagnostic hypotheses using intuitive, nonanalytic reasoning. Analytic reasoning then allows the clinician to test and verify or reject each hypothesis, leading to a diagnostic conclusion. In this article, we focus on the initial step of hypothesis generation and review how expert clinicians use experiential knowledge to intuitively recognize a medical diagnosis.

KEYWORDS:

Exemplars; Experiential knowledge; Heuristics; Illness script; Intuition

PMID:
28238695
DOI:
10.1016/j.amjmed.2017.01.045
[Indexed for MEDLINE]

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