TY - JOUR
T1 - Clinical Reasoning and Knowledge Organization
T2 - Bridging the Gap Between Medical Education and Neurocognitive Science
AU - Longo, Palma J.
AU - Orcutt, Venetia L
AU - James, Kassidy
AU - Kane, John
AU - Coleman, Veronica
PY - 2018/12/1
Y1 - 2018/12/1
N2 - PURPOSE: The purpose of this pilot study was 2-fold. The first was to investigate the conceptual relationship between previously validated methodologies. The second was to establish a linkage between medical education research and current neurocognitive science that accounts for knowledge organization during the clinical reasoning process. METHODS: Transcripts of Think Aloud interviews conducted after an objective structured clinical examination (n = 12) were coded and analyzed into 3 clinical reasoning competencies (semantic, diagnostic, and knowledge network organization). Correlational analyses were conducted to establish relationships between the 2 methodologies. Analyses of variance examined group differences. RESULTS: Significant correlations with large effect sizes were found between semantic, diagnostic, and knowledge network organization variables. Analysis of variance results approach significant difference in the knowledge network organization between weak versus strong diagnosticians. CONCLUSIONS: Knowledge network organization measurement can be used to discern differences in clinical reasoning and may offer explanations for the variation in health professionals' diagnostic performance.
AB - PURPOSE: The purpose of this pilot study was 2-fold. The first was to investigate the conceptual relationship between previously validated methodologies. The second was to establish a linkage between medical education research and current neurocognitive science that accounts for knowledge organization during the clinical reasoning process. METHODS: Transcripts of Think Aloud interviews conducted after an objective structured clinical examination (n = 12) were coded and analyzed into 3 clinical reasoning competencies (semantic, diagnostic, and knowledge network organization). Correlational analyses were conducted to establish relationships between the 2 methodologies. Analyses of variance examined group differences. RESULTS: Significant correlations with large effect sizes were found between semantic, diagnostic, and knowledge network organization variables. Analysis of variance results approach significant difference in the knowledge network organization between weak versus strong diagnosticians. CONCLUSIONS: Knowledge network organization measurement can be used to discern differences in clinical reasoning and may offer explanations for the variation in health professionals' diagnostic performance.
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U2 - 10.1097/JPA.0000000000000224
DO - 10.1097/JPA.0000000000000224
M3 - Article
C2 - 30379791
AN - SCOPUS:85056802841
SN - 1941-9430
VL - 29
SP - 230
EP - 235
JO - The journal of physician assistant education : the official journal of the Physician Assistant Education Association
JF - The journal of physician assistant education : the official journal of the Physician Assistant Education Association
IS - 4
ER -