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Deutsch als Zweitsprache: Wo der Markt (zu gut) funktioniert ; German as a second language: Where the market works (too well)
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In: Magazin erwachsenenbildung.at (2017) 32, 6 S. (2017)
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Tennessee Colleges of Applied Technology: Student Demographics and Completion Rates
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In: Electronic Theses and Dissertations (2017)
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Clinical reasoning of junior doctors in emergency medicine: a grounded theory study
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Abstract:
INTRODUCTION: Emergency medicine (EM) has a high case turnover and acuity making it a demanding clinical reasoning domain especially for junior doctors who lack experience. We aimed to better understand their clinical reasoning using dual cognition as a guiding theory. METHODS: EM junior doctors were recruited from six hospitals in the south of England to participate in semi-structured interviews (n=20) and focus groups (n=17) based on recall of two recent cases. Transcripts were analysed using a grounded theory approach to identify themes and to develop a model of junior doctors' clinical reasoning in EM. RESULTS: Within cases, clinical reasoning occurred in three phases. In phase 1 (case framing), initial case cues and first impressions were predominantly intuitive, but checked by analytical thought and determined the urgency of clinical assessment. In phase 2 (evolving reasoning), non-analytical single cue and pattern recognitions were common which were subsequently validated by specific analytical strategies such as use of red flags. In phase 3 (ongoing uncertainty) analytical self-monitoring and reassurance strategies were used to precipitate a decision regarding discharge. CONCLUSION: We found a constant dialectic between intuitive and analytical cognition throughout the reasoning process. Our model of clinical reasoning by EM junior doctors illustrates the specific contextual manifestations of the dual cognition theory. Distinct diagnostic strategies are identified and together these give EM learners and educators a framework and vocabulary for discussion and learning about clinical reasoning.
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Keyword:
Adult; clinical assessment; Decision Making; education; emergency departments; Emergency Medicine; England; Female; Focus Groups; Grounded Theory; Hospital; Humans; Internship and Residency; Interviews as Topic; Male; Medical Staff; teaching; Thinking; training
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URL: http://hdl.handle.net/10536/DRO/DU:30084524
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Neue Sprachen lehren und lernen: Fremdsprachenunterricht in der Weiterbildung
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In: Perspektive Praxis ; 236 (2017)
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Literalität als soziale Praxis: Bedeutungen von Schriftsprachlichkeit
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In: REPORT - Zeitschrift für Weiterbildungsforschung ; 34 ; 3 ; 36-47 ; Partizipation und Alphabetisierung/Grundbildung (2017)
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Fremdsprachen - Trendsprachen: Konjunkturen des Sprachenerwerbs Erwachsener am Beispiel des Volkshochschulangebots
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In: DIE Zeitschrift für Erwachsenenbildung ; 2 ; 45-48 ; Intimacy of Lifelong Learning .innere Seite des Lernens (2017)
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Dem "subjektiven Faktor" auf der Spur: die Geschichte der Erwachsenenbildung im Spiegel berufsbiografischer Generativität
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In: REPORT - Zeitschrift für Weiterbildungsforschung ; 34 ; 1 ; 61-76 ; Forschungsmethoden in der Weiterbildung (2017)
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High or low? Comparing high and low-variability phonetic training in adult and child second language learners
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The Effect of Input Enhancement on Vocabulary Learning: Is There An Impact upon Receptive And Productive Knowledge?
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Introducing Young Adult Literature (YAL) in the English as a Foreign Language (EFL) Classroom: The Maze Runner (2009) by James Dashner
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Surface electromyographic control of a novel phonemic interface for speech synthesis
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Flipping the Classroom: Is it a flipping good idea, or a flop?
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In: James, T, Conradie, H, (2016). Flipping the Classroom: Is it a flipping good idea, or a flop?. 01-02 December 2016, FABENZ Biennial Conference, 3rd, 2016: Accessibility flexibility equity, Auckland, New Zealand, FABENZ, Hamilton, NZ, p. 1-16, http://fabenz.org.nz/conference/ (2016)
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Integration durch Bildung. Migranten und Flüchtlinge in Deutschland. Gutachten ...
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Integration durch Bildung. Migranten und Flüchtlinge in Deutschland. Gutachten
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In: Münster : Waxmann 2016, 327 S. (2016)
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Assessing Training Methods to Educate Dairy Workers
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In: Kansas Agricultural Experiment Station Research Reports (2016)
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'Please don't call me Mister': patient preferences of how they are addressed and their knowledge of their treating medical team in an Australian hospital
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Powerful Partnerships: A Community Program for Low Income, High School Dropouts and a University
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In: National Youth Advocacy and Resilience Conference (2016)
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GAME-BASED SECOND LANGUAGE VOCABULARY TRAINING: IMPLICATIONS FOR LEARNING OUTCOMES AND BRAIN FUNCTION
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Feedback on feedback – does it work?
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In: Helm, Francesca [Hrsg.]; Bradley, Linda [Hrsg.]; Guarda, Marta [Hrsg.]; Thouësny, Sylvie [Hrsg.]: Critical CALL. Proceedings of the 2015 EUROCALL conference, Padova, Italy. Dublin : Research-publishing.net 2015, S. 507-511 (2015)
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