Medical Problem Solving¶
Elstein, A. S., Shulman, L. S., & Sprafka, S. A. (1978). Medical Problem Solving: An Analysis of Clinical Reasoning. Harvard University Press.
Cited by¶
4 citations across 4 artifacts.
Each citation links to the sentence it supports in the citing article.
Primes¶
- Abductive Reasoning
- Elstein, Shulman, and Sprafka (1978) document this loop explicitly as hypothetico-deductive clinical reasoning in their landmark study of physician problem-solving.
This sourceLandmark protocol study of physician diagnostic reasoning; documents the hypothetico-deductive loop — early generation of a small set of competing diagnostic hypotheses, evaluation by trying to exclude them against case evidence, and defeasible commitment — as the structural pattern of clinical reasoning.
- Elstein, Shulman, and Sprafka (1978) document this loop explicitly as hypothetico-deductive clinical reasoning in their landmark study of physician problem-solving.
- Discrepancy-Driven Correction
- Negative Case Analysis
- Investigation and clinical reasoning: ruling out alternative hypotheses, and generating competing diagnoses to seek findings that would not fit the leading one, are the same move at the desk and the bedside.
This sourceEstablishes the hypothetico-deductive model of diagnosis — generating a limited set of competing hypotheses early and seeking findings that would confirm or rule them out — the clinical form of seeking discordant evidence against a leading account.
- Investigation and clinical reasoning: ruling out alternative hypotheses, and generating competing diagnoses to seek findings that would not fit the leading one, are the same move at the desk and the bedside.
- Setup–Resolution Pair
- Clinical and investigative work. A differential diagnosis raised is a demand a later test closes by confirming or excluding it; an open action item, a logged risk, and a filed hypothesis behave identically, which is why each of these practices grows a register of things still open.
This sourceEstablishes the hypothetico-deductive account in which a small set of diagnostic hypotheses is raised early and later data confirm or exclude each one, so a raised differential is a demand a subsequent test closes.
- Clinical and investigative work. A differential diagnosis raised is a demand a later test closes by confirming or excluding it; an open action item, a logged risk, and a filed hypothesis behave identically, which is why each of these practices grows a register of things still open.
Verification¶
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Links previously used in the corpus¶
Before the registry existed this work was also linked 2 other ways.
- https://books.google.com/books/about/Medical_Problem_Solving.html?id=IjxrAAAAMAAJ ×1
- https://www.hup.harvard.edu/books/9780674561250 ×1
Registry ID ref:90e9b8453367 · see in the full table