The Relationship Between Pretheoretical Assumptions and Clinical Reasoning

1997 ◽  
Vol 51 (5) ◽  
pp. 328-338 ◽  
Author(s):  
B. Hooper
Keyword(s):  
Clinical Reasoning ◽  
The Relationship

scholarly journals Contextualising clinical reasoning within the clinical swallow evaluation: A scoping review and expert consultation

2021 ◽  
Vol 68 (1) ◽  
Author(s):  
Thiani Pillay ◽  
Mershen Pillay
Keyword(s):  
Clinical Reasoning ◽  
Thematic Analysis ◽  
Scoping Review ◽  
Positive Impact ◽  
Assessment Process ◽  
Expert Consultation ◽  
Middle Income ◽  
Complex Process ◽  
The Impact ◽  
The Relationship

Background: This study explored the available literature on the phenomenon of clinical reasoning and described its influence on the clinical swallow evaluation. By exploring the relationship between clinical reasoning and the clinical swallow evaluation, it is possible to modernise the approach to dysphagia assessment.Objectives: This study aimed to contextualise the available literature on clinical reasoning and the CSE to low-middle income contexts through the use of a scoping review and expert consultation.Method: A scoping review was performed based on the PRISMA-ScR framework. The data was analysed using thematic analysis. Articles were considered if they discussed the clinical swallow evaluation and clinical reasoning, and were published in the last 49 years.Results: Through rigorous electronic and manual searching, 12 articles were identified. This review made an argument for the value of clinical reasoning within the clinical swallow evaluation. The results of the study revealed three core themes related to the acquisition, variability and positive impact of clinical reasoning in the clinical swallow evaluation.Conclusion: The results of this review showed that the clinical swallow evaluation is a complex process with significant levels of variability usually linked to the impact of context. This demonstrates that in order to deliver effective and relevant services, despite challenging conditions, healthcare practitioners must depend on clinical reasoning to make appropriate modifications to the assessment process that considers these salient factors.

scholarly journals Semantic competency as a marker of clinical reasoning performance

MedEdPublish ◽  
2022 ◽  
Vol 12 ◽  
pp. 1
Author(s):  
Michael Berge ◽  
Michael Soh ◽  
Fahlsing Christopher ◽  
Rene McKinnon ◽  
Berish Wetstein ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Clinical Reasoning ◽  
Future Study ◽  
Internal Medicine Resident ◽  
Semantic Competence ◽  
Medicine Resident ◽  
Think Alouds ◽  
Resident Physicians ◽  
Attending Physicians ◽  
The Relationship

Background: This study sought to explore the relationship between semantic competence (or dyscompetence) displayed during “think-alouds” performed by resident and attending physicians and clinical reasoning performance. Methods: Internal medicine resident physicians and practicing internists participated in think-alouds performed after watching videos of typical presentations of common diseases in internal medicine. The think-alouds were evaluated for the presence of semantic competence and dyscompetence and these results were correlated with clinical reasoning performance.  Results: We found that the length of think-aloud was negatively correlated with clinical reasoning performance. Beyond this finding, however, we did not find any other significant correlations between semantic competence or dyscompetence and clinical reasoning performance. Conclusions: While this study did not produce the previously hypothesized findings of correlation between semantic competence and clinical reasoning performance, we discuss the possible implications and areas of future study regarding the relationship between semantic competency and clinical reasoning performance.

scholarly journals Heart Rate and Heart Rate Variability Correlate with Clinical Reasoning Performance and Self-Reported Measures of Cognitive Load

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Soroosh Solhjoo ◽  
Mark C. Haigney ◽  
Elexis McBee ◽  
Jeroen J. G. van Merrienboer ◽  
Lambert Schuwirth ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Cognitive Load ◽  
Cognitive Processing ◽  
Clinical Reasoning ◽  
Single Item ◽  
Intrinsic Cognitive Load ◽  
Positive Correlations ◽  
The Relationship ◽  
Mean Heart Rate

Abstract Cognitive load is a key mediator of cognitive processing that may impact clinical reasoning performance. The purpose of this study was to gather biologic validity evidence for correlates of different types of self-reported cognitive load, and to explore the association of self-reported cognitive load and physiologic measures with clinical reasoning performance. We hypothesized that increased cognitive load would manifest evidence of elevated sympathetic tone and would be associated with lower clinical reasoning performance scores. Fifteen medical students wore Holter monitors and watched three videos depicting medical encounters before completing a post-encounter form and standard measures of cognitive load. Correlation analysis was used to investigate the relationship between cardiac measures (mean heart rate, heart rate variability and QT interval variability) and self-reported measures of cognitive load, and their association with clinical reasoning performance scores. Despite the low number of participants, strong positive correlations were found between measures of intrinsic cognitive load and heart rate variability. Performance was negatively correlated with mean heart rate, as well as single-item cognitive load measures. Our data signify a possible role for using physiologic monitoring for identifying individuals experiencing high cognitive load and those at risk for performing poorly during clinical reasoning tasks.

The Theory/Practice Divide: Bridging the Gap in Occupational Therapy

1996 ◽  
Vol 59 (6) ◽  
pp. 264-268 ◽  
Author(s):  
Barbara Steward
Keyword(s):  
Occupational Therapy ◽  
Clinical Reasoning ◽  
Institutional Constraints ◽  
Full Potential ◽  
Reasoning Strategies ◽  
Types Of Knowledge ◽  
Theory To Practice ◽  
Changing Patterns ◽  
Relationship Of ◽  
The Relationship

Recent research has highlighted students' and new practitioners' perceptions of a theory/practice divide. In reviewing the literature on types of knowledge and their use in different contexts, a number of possible explanations for the divide emerge concerning the relationship of theory to practice. The extent to which changing patterns of fieldwork practice and clinical reasoning strategies are bridging the divide is explored. This suggests that emancipatory knowledge is possible by these educational routes but has yet to fulfil its full potential because of historical, professional and institutional constraints.

Interstellar gas in the central region of the Galaxy

1967 ◽  
Vol 31 ◽  
pp. 239-251 ◽  
Author(s):  
F. J. Kerr
Keyword(s):  
Central Region ◽  
Galactic Plane ◽  
Neutral Hydrogen ◽  
Continuum Emission ◽  
Galactic Centre ◽  
Interstellar Gas ◽  
Hydrogen Recombination ◽  
The Galaxy ◽  
Centre Region ◽  
The Relationship

A review is given of information on the galactic-centre region obtained from recent observations of the 21-cm line from neutral hydrogen, the 18-cm group of OH lines, a hydrogen recombination line at 6 cm wavelength, and the continuum emission from ionized hydrogen.Both inward and outward motions are important in this region, in addition to rotation. Several types of observation indicate the presence of material in features inclined to the galactic plane. The relationship between the H and OH concentrations is not yet clear, but a rough picture of the central region can be proposed.

The relationship of the scleractinian corals to the rugose corals

Paleobiology ◽  
1980 ◽  
Vol 6 (02) ◽  
pp. 146-160 ◽  
Author(s):  
William A. Oliver
Keyword(s):  
Critical Points ◽  
Scleractinian Corals ◽  
Convincing Evidence ◽  
Early Triassic ◽  
Rugose Corals ◽  
History Of ◽  
The Subject ◽  
Relationship Of ◽  
The Relationship ◽  
Biologic Factors

The Mesozoic-Cenozoic coral Order Scleractinia has been suggested to have originated or evolved (1) by direct descent from the Paleozoic Order Rugosa or (2) by the development of a skeleton in members of one of the anemone groups that probably have existed throughout Phanerozoic time. In spite of much work on the subject, advocates of the direct descent hypothesis have failed to find convincing evidence of this relationship. Critical points are:(1) Rugosan septal insertion is serial; Scleractinian insertion is cyclic; no intermediate stages have been demonstrated. Apparent intermediates are Scleractinia having bilateral cyclic insertion or teratological Rugosa.(2) There is convincing evidence that the skeletons of many Rugosa were calcitic and none are known to be or to have been aragonitic. In contrast, the skeletons of all living Scleractinia are aragonitic and there is evidence that fossil Scleractinia were aragonitic also. The mineralogic difference is almost certainly due to intrinsic biologic factors.(3) No early Triassic corals of either group are known. This fact is not compelling (by itself) but is important in connection with points 1 and 2, because, given direct descent, both changes took place during this only stage in the history of the two groups in which there are no known corals.

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