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中华诊断学电子杂志 ›› 2015, Vol. 03 ›› Issue (02) : 86 -89. doi: 10.3877/cma.j.issn.2095-655X.2015.02.003

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临床思维

临床推理理论研究回顾
邓云龙1,(), 刘晟君1   
  1. 1. 410013 长沙,中南大学湘雅三医院心身健康研究所
  • 收稿日期:2014-06-23 出版日期:2015-05-26
  • 通信作者: 邓云龙

Review of research on clinical reasoning theory

Yunlong Deng1,(), Shengjun Liu1   

  1. 1. Department of Psychosomatic Health Institute, The Third Xiangya Hospital of Central South University, Changsha 410013, China
  • Received:2014-06-23 Published:2015-05-26
  • Corresponding author: Yunlong Deng
  • About author:
    Corresponding author: Deng Yunlong, Email:
引用本文:

邓云龙, 刘晟君. 临床推理理论研究回顾[J]. 中华诊断学电子杂志, 2015, 03(02): 86-89.

Yunlong Deng, Shengjun Liu. Review of research on clinical reasoning theory[J]. Chinese Journal of Diagnostics(Electronic Edition), 2015, 03(02): 86-89.

临床推理是医生的核心竞争力。临床推理研究从开始关注临床推理的策略到关注记忆、知识表征的作用,期间研究者们建立了许多理论用以解释临床推理的本质。目前研究者普遍支持双系统模型,并试图从这一模型出发探索控制诊断误差的认知策略,但大部分研究结果并不令人满意,或许把视角转向记忆、知识表征和临床经验,是未来研究兴趣点之一。本文回顾临床推理研究的历史和趋势。

Clinical reasoning is the central component of physician′s competence.Research on clinical reasoning has been conducted for almost 40 years.In this paper, the history and the current trend of clinical reasoning research will be reviewed.The field begins with the strategy of reasoning, then focuses on a critical examination of expert′s memory and knowledge representation. In this period, many theories were presented to help people understand the nature of clinical reasoning.Nowadays, the dual-process model is supported by many researchers.Within this model, researchers tried to explore reasoning strategies to reduce diagnostic error, however, the results were far from satisfactory.Shifting reasoning strategies to memory or knowledge representation may be a new horizon for this field.

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