专注的好奇心：复杂患者诊疗过程中临床推理的“热点”
Engaged curiosity: "Hot spots" for clinical reasoning in complex patient encounters.
作者信息
Soh Michael, Mullikin Dolores, Durning Steven J, Merkebu Jerusalem
机构信息
School of Graduate Studies, University of Maryland, Baltimore, USA.
Mary Bridge Children's Hospital, Tacoma, WA, USA.
出版信息
PEC Innov. 2025 Jun 6;7:100408. doi: 10.1016/j.pecinn.2025.100408. eCollection 2025 Dec.
OBJECTIVE
This study explores how, if at all, engaged curiosity - a genuine, emotionally engaged interest in learning more about the complexity of another's particular emotional perspective - emerges in the clinical reasoning process and its relationship with contextual factors and clinical reasoning performance.
METHODS
Think-alouds transcripts from nineteen physicians in internal medicine from three military training facilities were thematically analyzed for instances of engaged curiosity and examined through the lens of contextual factors and clinical reasoning performance.
RESULTS
Our findings indicate that engaged curiosity can be likened to placeholders that physicians employ early on to "bookmark" sources of patient concern. These sources, or hot spots, deserve follow up, particularly when cognitive resources are unavailable to "attend" to a deeper understanding of the patient's experience.
CONCLUSION
Engaged curiosity provides a unique lens for better understanding the relationship between empathy and clinical reasoning and warrants further research on its impact on the patient and their care.
INNOVATION
Engaged curiosity could serve as a novel way to train physicians to think and engage more empathically with their patients.
目的
本研究探讨了在临床推理过程中，若存在的话，投入性好奇心——一种对更深入了解他人特定情感视角的复杂性的真实、情感投入的兴趣——是如何出现的，以及它与情境因素和临床推理表现的关系。
方法
对来自三个军事训练机构的19名内科医生的出声思维记录进行主题分析，以找出投入性好奇心的实例，并从情境因素和临床推理表现的角度进行考察。
结果
我们的研究结果表明，投入性好奇心可以比作医生早期用来“标记”患者关注点来源的占位符。这些来源或热点值得跟进，尤其是当认知资源无法用于“关注”对患者经历的更深入理解时。
结论
投入性好奇心为更好地理解同理心与临床推理之间的关系提供了一个独特的视角，值得进一步研究其对患者及其护理的影响。
创新点
投入性好奇心可以作为一种新颖的方式来培训医生，使其更具同理心去思考并与患者互动。
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