Challenges in mitigating context specificity in clinical reasoning: a report and reflection
Abstract
Diagnostic error is a growing concern in U.S. healthcare. There is mounting evidence that errors may not always be due to knowledge gaps, but also tocontext specificity: a physician seeing two identical patient presentations from a content perspective (e.g., history, labs) yet arriving at two distinct diagnoses. This study used the lens of situated cognition theory – which views clinical reasoning as interconnected with surrounding contextual factors – to design and test an instructional module to mitigate the negative effects of context specificity. We hypothesized that experimental participants would perform better on the outcome measure than those in the control group.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Jul 11, 2020
- Source ID
- 10.1515/dx-2020-0018
Entities
People
- Abigail Konopasky
- Alexis Battista
- Anthony R. Artino
- Catherine Woodard
- Dario Torre
- Divya Ramani
- Steven J. Durning
- Zachary A. Haynes
Organizations
- Congressionally Directed Medical Research Programs
- George Washington University
- Joint Pathology Center
- Uniformed Services University of the Health Sciences