Penner John C, Minter Daniel J, Abdoler Emily A, Parsons Andrew S
Medical Service, San Francisco VA Medical Center, San Francisco, CA, USA.
Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
J Gen Intern Med. 2025 May;40(6):1424-1429. doi: 10.1007/s11606-024-09039-4. Epub 2024 Dec 20.
Management reasoning (MR) is a key domain of clinical reasoning that is distinct from the more heavily studied and taught diagnostic reasoning (DR). Despite MR's importance to patient care, there are few published strategies for incorporating MR education into the clinical learning environment. In this perspective, the authors review key theories and clinical principles relevant to MR and integrate these concepts with previously described tools for teaching MR to provide frontline clinical teachers with practical, theory-informed framework for teaching MR during inpatient rounds.
管理推理(MR)是临床推理的一个关键领域,与研究和教学更为深入的诊断推理(DR)不同。尽管MR对患者护理很重要,但将MR教育纳入临床学习环境的已发表策略却很少。从这个角度来看,作者回顾了与MR相关的关键理论和临床原则,并将这些概念与先前描述的用于教授MR的工具相结合,为一线临床教师提供一个实用的、基于理论的框架,以便在住院查房期间教授MR。