Nahid Salehi, Pouria Heydarpour, Yahya Salimi, Arash Ziapour, Mohammad Reza Majzoobi, Sahand Geravand, Parisa Janjani
Comparison of quality of life in patients with mitral valve replacement and mitral valve repair in Imam Ali Hospital during 2014 to 2020: a cross-sectional study
Journal of cardiothoracic surgery
impact context complex process clinical reasoning well understood using situated cognition theoretical framework videos provide contextual stimulus participants examined relationship specific contextual factors diagnostic therapeutic reasoning accuracy board certified internists versus resident physicians participant viewed three videotaped clinical encounters portraying common diagnoses internal medicine explicitly modified context assess impact performance patient physician contextual factors patient contextual factors including english second language emotional volatility portrayed videos physician participant contextual factors selfrated sleepiness burnout accuracy diagnostic therapeutic reasoning compared covariates using fisher exact mannwhitney u tests spearman rhos correlations appropriate fifteen board certified internists 10 resident physicians participated 2013 2014 accuracy diagnostic therapeutic reasoning differ groups despite residents reporting significantly higher rates sleepiness mean rank 2045 vs 803 u 05 p 001 burnout mean rank 2050 vs 800 u 00 p 001 accuracy diagnosis treatment uncorrelated r 017 p 65 groups proportion scoring correct responses treatment higher proportion scoring correct responses diagnosis study underscores specific contextual factors appear impact clinical reasoning performance processes diagnostic therapeutic reasoning although related may interchangeable raises important questions impact contextual factors clinical reasoning provides insight clinical reasoning processes authentic settings may explained situated cognition theory