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ABC of Clinical Reasoning


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Table of Contents

Contributors vi Preface vii 1 Clinical Reasoning: An Overview 1 Nicola Cooper and John Frain 2 Evidence -Based History and Examination, 6 Steven McGee and John Frain 3 Using and Interpreting Diagnostic Tests 12 Nicola Cooper 4 Models of Clinical Reasoning 17 Martin Hughes and Graham Nimmo 5 Cognitive Biases 22 Nicola Cooper 6 Human Factors 27 Nicola Cooper 7 Metacognition and Cognitive Debiasing 33 Pat Croskerry 8 Using Guidelines, Scores and Decision Aids 39 Maggie Bartlett and Simon Gay 9 Teaching Clinical Reasoning 44 Nicola Cooper, Ana L. Da Silva and Sian Powell Recommended Books, Articles and Websites 51 Index 53

About the Author

Nicola Cooper is Consultant Physician and Honorary Clinical Associate Professor, Derby Teaching Hospitals NHS Foundation Trust, and Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, UK John Frain is General Practitioner and Director of Clinical Skills, Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, UK


"Sound decision making is routinely cited as a cornerstone of clinical practice. But what techniques actually underlie this process, and why does it all too often go wrong? The answers to these questions, and more, are provided by the authors of this book, who have successfully compressed the burgeoning subject of clinical reasoning into a succinct and easily accessible textbook... The text attempts to cover a lot of ground for such a slim volume and occasional sections seem a little cramped. The overall effect, though, is to enthusiastically and intelligently convey the importance of a so far underappreciated yet vital aspect of clinical practice. Readers should not expect this text to provide a complete summary of the subject (a comprehensive bibliography is supplied). Nor should they expect a single reading to provide an instant remedy to deficiencies in their own decision making because, as the editors state, developing sound clinical reasoning is a 'lifelong' task. With that in mind, picking up this book would make an excellent start."(BJGP Open, 24th February 2017)

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