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更快地慢思考:开发综合疾病脚本以支持认知综合学习并改善临床决策

Thinking Slow More Quickly: Development of Integrated Illness Scripts to Support Cognitively Integrated Learning and Improve Clinical Decision-Making.

作者信息

Fall Leslie H, English Robin, Fulton Tracy B, Harris David M, Ngo Khiet, Nixon James, Hembrook-Short Jacqueline, Wilson-Delfosse Amy

机构信息

Aquifer, Inc., 21 Lafayette Street, Suite 230, Lebanon, NH 03755 USA.

Louisiana State University School of Medicine, Baton Rouge, USA.

出版信息

Med Sci Educ. 2021 May 4;31(3):1005-1007. doi: 10.1007/s40670-021-01293-z. eCollection 2021 Jun.

DOI:10.1007/s40670-021-01293-z
PMID:34457943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8368410/
Abstract

Illness scripts describe the mental model used by experienced clinicians to store and recall condition-specific knowledge when making clinical decisions. Studies demonstrate that novice clinicians struggle to develop and apply strong illness scripts. We developed the Integrated Illness Script and Mechanism of Disease (IIS-MOD) map framework to address this challenge.

摘要

疾病脚本描述了经验丰富的临床医生在做出临床决策时用于存储和回忆特定疾病知识的心理模型。研究表明,新手临床医生难以构建和应用强大的疾病脚本。我们开发了综合疾病脚本与疾病机制(IIS-MOD)图谱框架来应对这一挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a7/8368410/596f1621babd/40670_2021_1293_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a7/8368410/596f1621babd/40670_2021_1293_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a7/8368410/596f1621babd/40670_2021_1293_Fig1_HTML.jpg

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本文引用的文献

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Cause and Effect: Testing a Mechanism and Method for the Cognitive Integration of Basic Science.因果关系:检验基础科学认知整合的机制与方法
Acad Med. 2015 Nov;90(11 Suppl):S63-9. doi: 10.1097/ACM.0000000000000896.
2
Integration of basic sciences and clinical sciences in oral radiology education for dental students.口腔放射学教育中基础科学与临床科学的整合:面向牙科学学生
J Dent Educ. 2013 Jun;77(6):757-63.
3
Educational strategies to promote clinical diagnostic reasoning.促进临床诊断推理的教育策略。
N Engl J Med. 2006 Nov 23;355(21):2217-25. doi: 10.1056/NEJMra054782.