Abstract

VILLARROEL SALINAS, Jaime Claudio; RIBEIRO DOS SANTOS, Quesia  and  BERNAL HINOJOSA, Naida. Clinical Reasoning: Its Current Deficit and the importance of learning a Method for the formation of the Clinical Competence of Medical Future. Rev Cient Cienc Méd [online]. 2014, vol.17, n.1, pp.29-36. ISSN 1817-7433.

Clinical reasoning is the backbone of medical practice, it converge the three knowledge: Knowing, doing and knowing being. It is the power of observation, reflection, inference, comprehensive view of the clinical problems of the patient. There are various defmitions and approaches the concept of clinical reasoning: Faculty that allows solving medical problems, drawing conclusions and consciously learning the facts, establishing necessary causal and logical connections between them. Some authors consider that it is a combination of hypothetical-deductive reasoning and pattern recognition. Questions and concerns such as how do we teach this competence, doctors, to our disciples? Can we really teach? Can we encourage their development?, How to do it?. Methods are established to reach a diagnosis, however these methods are not reproducible in particular students or residents with limited clinical experience. Traditionally methods of clinical reasoning have been classified in the analytical or deductive-hypothetical and no analytical or pattern.This article considers that analytical and non-analytical methods are not mutually exclusive, however are considered synergistic, that's why a comprehensive combined weighted method is proposed.

Keywords : Clinical Reasoning; Teaching; Medicine.

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