Putting the puzzle together: the role of ‘problem definition’ in complex clinical judgement

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• 作者：Sayra Cristancho ; Lorelei Lingard ; Thomas Forbes ; Michael Ott and Richard Novick
• 刊名：Medical Education
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：51
• 期：2
• 页码：207-214
• 全文大小：487K
• ISSN：1365-2923

文摘

We teach judgement in pieces; that is, we talk about each aspect separately (patient, plan, resources, technique, etc.). We also let trainees figure out how to put the pieces together. In complex situations, this might be problematic. Using data from a drawing-based study on surgeons’ experiences with complex situations, we explore the notion of ‘problem definition’ in real-world clinical judgement using the theoretical lens of systems engineering.