Abstract

  Clinical expertise being a non-quantifiable term, includes a combination of various factors among which heuristics is a rather important concept. Heuristics is the process to ignore part of data available, so as to provide an easy path to the goals. Reasoning, Heuristics, and therapeutic decision making, are the lesser taught subjects in our curriculum. The best way to plan a treatment algorithm involves expertise to connect the symptoms and signs in a meaningful way, to order appropriate investigations and all data collected is correlated to produce a probable list of differential diagnosis. Analytical reasoning is then used to arrive at the correct answer as to which management protocol would suit a particular patient best!

Keywords: Orthopaedic; Heuristics

References

1. Heller RF., et al. “Heuristics in medical and non‐medical decision making”. The Quarterly Journal of Experimental Psychology 44A.2 (1992): 221-235.
2. Tversky A and Kahneman D. “Judgement under uncertainty: heuristics and biases”. Science 185 (1974): 1124-1131.
3. Bornstein BH and Emler AC. “Rationality in medical decision making: a review of the literature on doctors’ decision‐making biases”. Journal of Evaluation in Clinical Practice 7.2 (2001): 97-107.
4. Detmer DE., et al. “Heuristics and biases in medical decision making”. International Journal of Medical Education 53 (1978): 682-683.
5. Marewski JN and Gigerenzer G. “Heuristic decision making in medicine”. Dialogues in Clinical Neuroscience 14.1 (2012): 77-89.
6. Edwards W. “The theory of decision making”. Psychological Bulletin 5 (1954): 380-417.
7. Dharni MK and Harries C. “Fast and frugal versus regression models of human judgment”. Thinking and Reasoning 7 (2001): 5-27.
8. Blumenthal-Barby JS and Krieger H. “Cognitive Biases and Heuristics in Medical Decision Making: A Critical Review Using a Systematic Search Strategy”. Medical Decision Making 35.4 (2015): 539-557. 
9. O’Sullivan ED and Schofield S. “Cognitive Bias in Clinical Medicine”. Journal of the Royal College of Physicians of Edinburgh 48.3 (2018): 225-231. 

Citation

Citation: L Prakash. "The Logic and Reasoning Process for Orthopaedic Diagnosis and Decision Making: Heuristics".Acta Scientific Orthopaedics 3.2 (2020): 35-38.

Copyright

Copyright: © 2020 L Prakash. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.