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Chinese Journal of Diagnostics(Electronic Edition) ›› 2015, Vol. 03 ›› Issue (02): 86-89. doi: 10.3877/cma.j.issn.2095-655X.2015.02.003

Special Issue:

• Clinical Thinking • Previous Articles     Next Articles

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 Online:2015-05-26 Published:2015-05-26
  • Contact: Yunlong Deng
  • About author:
    Corresponding author: Deng Yunlong, Email:

Abstract:

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.

Key words: Clinical reasoning, Knowledge representation, Dual-process model, Diagnostic errors

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