Clinical Reasoning and Bias

Question 1

Clinical Reasoning Definition

Answer 1

Process vets integrate multiple clinical and contextual factors to make decisions about diagnosis, tx and prognoses

Question 2

Data Collected
4 points

Answer 2

Signalment - old vs young, F vs M
History
Exam
Min database

Question 3

Clinical Reasoning Steps
4 pooints

Answer 3

1. Problem
2. System
3. Location
4. Lesion

Question 4

Disadvantages of Lots of Tests

Answer 4

1. False +ves
2. Over/under interpretation
3. Affordability
4. Blood volume
5. Exposure to unnecessary harm

Question 5

Type 1 Clinical Reasoning

Answer 5

• Pattern recognition
• Non analytical
• Intuitive
• Rapid
• Experience
• Illness-scripts
• Existing solutions
• Increased error risk

Question 6

Type 2 Clinical Reasoning

Answer 6

• 1st principles
• Analytical
• Deductive
• Inductive
• Abductive
• Increase cognitive load
• New situations/ unexpected response

Question 7

Availability Bias

Answer 7

Pick diagnoses because of what’s recently been seen/ common/ just learnt/read about

Question 8

Anchoring Bias

Answer 8

Decided must be this disease, won’t change my mind

Question 9

Framing Bias

Answer 9

Have a picture of what is going on and ignore things that don’t fit in ‘frame’

Question 10

Confirmation Bias

Answer 10

Choose data that supports chosen diagnosis and when something fits, it’s used as confirmation
Ignores data that doesnt fit in w possible diagnoses

Question 11

Premature Closure

Answer 11

Find diagnosis using lots of data and once I’ve found a diagnosis that fits, i stop looking for other possible diagnosis

Question 12

Gambler’s Fallacy

Answer 12

Seen a few cases of 1 dx and a few cases of a similar dx
Base likely diagnosis on what i would gamble the next case would likely have