Exam 1 Flashcards
Internal evidence
expertise of the PROFESSIONAL
Patient evidence
values and expectations of the: patient/client/student
Research evidence
best available research
What are the 3 sources of evidence we use to inform our clinical decisions?
internal, patient, and research
What are blinders?
limited to just research evidence, may make you miss something
Decision (clincial) making
integrating best research evidence + clinical experience + patient values
Information gathering
systemic process of getting:
- information history
- observation
- palpation
- clinical tests
Differential Diagnosis
purposeful info gathering = develop multiple possibilities
Knowledge
purposeful linking info = develop meaning
Meaning
ability to explain & predict
Wisdom
- knowledge refinement
based on: - experience
- deliberate practice
- careful resolution
Ethos
establishing:
- credibility
- character of writer
- pertaining to authority
Logos
ability to build + argue thru sound reason
- presentation of evidence to support proposition
Pathos
dependent on perspective of reader
Beneficence
benefit-to-risk relationship
2 factors for Respect for Persons
1) informed consent
2) individuals are autonomous
Justice
person has rights to results or findings of research
Implied Consent
assuming the individual would give consent in the situation but physically cannot verbalize it
Diagnosis
“through knowledge”
- ability to explain and predict
Spot Diagnosis
recognize a pattern based on lots of experience
Validity
strength
Invalid
weakness
Peer review
other experts looking over paper before publish = to approve/disprove
Internal Validity
Cause and Effect
External Validity
Generalization = inference = general population
Retrospective Study
look into the past
- 1 point in time from past measured
Prospective Study
predicts future
- minimal = 2 time points to establish cause-effect
What are the 2 time points in a prospective study?
- baseline point
- follow-up point
Parameter
population
Statistic
sample
What are the 4 essential elements of a profession based on Cruess & Cruess?
- unique body of knowledge
- code of ethics
- public sanction and recognition
- professional authority
What are society’s 6 expectations of professionals?
- guaranteed competence
- altruistic service
- morality and integrity
- promotion of public good
- transparency
- accountability
What are professionals’ 6 expectations of society?
- autonomy
- trust
- monopoly
- status and rewards
- self-regulation
- functioning health-care system
What is scientia?
knowledge derived from systemic observations
What is phronesis?
practice wisdom honed from direct experience
Tacit knowledge
personal knowledge = can’t be easily shared w/ others
Codified knowledge
written down knowledge
Personal knowledge
internal knowledge
Cultural knowledge
shared knowledge
ie: common sense