Priya Mittal, Ganesh R Jadhav, Mansing Pawar, Sitikantha Banerjee, Sneha Wangaskar, Marco Di Blasio, Gabriele Cervino, Giuseppe Minervini
Impact of self-assessment on dental student's performance in pre-clinical conservative dentistry course
BMC oral health
diagnostic reasoning process medical students novice physicians need made aware diagnostic values clinical findings including history signs symptoms make appropriate diagnostic decision diagnostic reasoning understood light two paradigms clinical reasoning problem solving decision making advocate reasoning strategies used expert physicians statistical models reasoning respectively evidencebased medicine ebm applies decision theory clinical diagnosis challenging topic medical educationthis theoretical article tries compare evidencebased diagnosis expertbased strategies clinical diagnosis also defines novel concept categoryoriented likelihood ratio lr propose new model combining aforementioned methods evidencebased medicine advocates use quantitative evidence estimate probability diseases accurately objectively however published evidence given diagnosis cannot practically utilized primary care especially patient complaining nonspecific problem abdominal pain could long list differential diagnoses case expert physicians examine key clinical findings could differentiate broader categories diseases organic nonorganic disease categories shorten list differential diagnoses approach nonspecific problems experts revise probability estimate specific diseases also revise probability estimate categories diseases using available clinical findings make approach analytical objective need know much likely key clinical finding present patients one diseases specific category versus disease included category paper call value categoryoriented lr