Inductive foraging: improving the diagnostic yield of primary care consultations.
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Citations
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References
Bayesian surprise attracts human attention.
Diagnostic error in internal medicine.
Internist-I, an Experimental Computer-Based Diagnostic Consultant for General Internal Medicine
Related Papers (5)
Frequently Asked Questions (14)
Q2. What is the main conclusion drawn from the Medical Inquiry Project?
The main conclusion drawn from the Medical Inquiry Project (1) is that a purely inductive method of data gathering is never used by physicians, but that hypotheses are formed early and guide further work-up.
Q3. What is the default assumption for a diagnosis of a disease?
As long as no departure from ‘ normal ’ is noticed, the default is the assumption that there is no pathology deserving further investigation, at least as long the problem space has been foraged to a suffi cient extent.
Q4. What is the definition of a premature closure?
DEDUCTIVE INQUIRY, INDUCTIVE FORAGING AND PREMATURE CLOSUREBy ‘ premature closure, ’ authors usually mean the end of a phase of specifi c hypotheses evaluation.
Q5. What is the important aspect of the foraging process?
Inductive foraging has universal application even beyond medical diagnosis (6), but it is especially suitable for primary care where the prevalence of serious disease is low but a wide range of possibilities must be explored.
Q6. What was the main conclusion drawn from the Medical Inquiry Project?
A strategy of inductive reasoning was associated with diagnostic success in a think-aloud study of paper cases for medical students and experienced gastroenterologists (9).
Q7. What is the title of the article?
Keywords: decision making , uncertainty , cognition , perception , judgement , diagnosis , general practice , family practiceConference Presentations : NDB presented parts of this article at the COGITA working group of the European General Practice Research Network, Z ü rich, Switzerland, October 2010.
Q8. What is the main reason for the inductive foraging?
From his analysis of Dutch general practitioners (GPs) working with simulated patients, Ridderikhof (7) concluded that inductive reasoning is the predominant mode of data collection and reasoning.
Q9. What is the common strategy used by GPs to test for hypotheses?
According to this strategy, individuals search for and examine instances in which the target behaviour, property, or event is expected to occur, as opposed to searching for instances where it is not expected to occur under the hypothesis entertained.
Q10. What is the meaning of the term deductive inquiry?
The authors suggest the term ‘ deductive inquiry ’ for this phase since reasoning goes from propositions (hypothesis) to data gathered by history taking or examination of the patient.
Q11. What is the background of the study?
Using the background of Popper ’ s theory of falsifi cation (15) as one benchmark within the context of discovery, numerous investigators have deplored the seemingly irrational behaviour of subjects confronted with ruleE urJ Gen Pra ctD ownl oade dfr omin form ahea lthca re.c omb yPr of.
Q12. What are the considerations referring to inductive foraging?
The considerations referring to inductive foraging are particularly relevant for the care of unselected populations, i.e. primary care or emergency department hospital settings (26).
Q13. What is the definition of premature closure?
Premature closure is said to occur when clinicians stop their data collection too early and, as a consequence, miss important information.
Q14. What is the effective way to diagnose a complaint?
complaints are often non-specifi c, and a large number of possible diagnoses must be screened; inductive foraging may be the most effi cient way to achieve this.