Clinical Reasoning

Question 1

Over-focus on early/superficial recognition

Answer 1

• Cognitive/Deductive Error

- Accept dx/clinical pattern based on superficial similarity to familiar case

Question 2

Premature anchoring

Answer 2

• Cognitive/Deductive Error

- Maintain first impressions despite new/conflicting info

Question 3

Premature closure

Answer 3

• Cognitive/Deductive Error

- Accept diagnosis without challenge/considering alternatives

Question 4

Framing effect

Answer 4

• Cognitive/Deductive Error

- Decision influence by perceived relative risk

Question 5

Commission bias

Answer 5

• Cognitive/Deductive Error

- Decisions made regardless of evidence

Question 6

Extrapolation error

Answer 6

• Cognitive/Deductive Error

- Do something successful in a dissimilar case

Question 7

Confirmation bias

Answer 7

• Cognitive/Deductive Error

- Looking for/remembering info that matches prior expectations; favorite dx/pattern

Question 8

Outcome bias

Answer 8

• Cognitive/Deductive Error

- Place inc/dec value on reasoning based on difficulty decision making

Question 9

Superficial psychosocial assessment

Answer 9

• Narrative/Inductive Error

- PT withhold/downplay factors, PT doesn’t investigate factors

Question 10

Approaching narrative reasoning deductively

Answer 10

• Narrative/Inductive Error

- Assumes pt perspectives, close-ended

Question 11

Either/or mentality

Answer 11

• Narrative/Inductive Error

- Views as physical or psychosocial