Parsons Andrew S, Wijesekera Thilan P, Olson Andrew P J, Torre Dario, Durning Steven J, Daniel Michelle
Medicine and Public Health, University of Virginia School of Medicine, Charlottesville, VA, USA.
Medicine, Yale School of Medicine, New Haven, CT, USA.
Med Teach. 2025 Apr;47(4):665-676. doi: 10.1080/0142159X.2024.2359963. Epub 2024 Jun 5.
From dual process to a family of theories known collectively as situativity, both micro and macro theories of cognition inform our current understanding of clinical reasoning (CR) and error. CR is a complex process that occurs in a complex environment, and a nuanced, expansive, integrated model of these theories is necessary to fully understand how CR is performed in the present day and in the future. In this perspective, we present these individual theories along with figures and descriptive cases for purposes of comparison before exploring the implications of a transtheoretical model of these theories for teaching, assessment, and research in CR and error.
从双加工理论到统称为情境性的一系列理论,认知的微观和宏观理论都为我们当前对临床推理(CR)和错误的理解提供了信息。临床推理是一个在复杂环境中发生的复杂过程,需要一个细致入微、广泛且综合的这些理论模型,才能充分理解当今和未来临床推理是如何进行的。从这个角度出发,我们在探讨这些理论的跨理论模型对临床推理及错误的教学、评估和研究的意义之前,先展示这些个体理论以及相关图表和描述性案例,以供比较。