Venera Bekteshi, Munjireen Sifat, Darla E Kendzor
Reaching the unheard: overcoming challenges in health research with hard-to-reach populations
International journal for equity in health
clinical reasoning key competence medicine lack knowledge nonexperts like medical students solve clinical problems known difficulties applying conceptual knowledge clinical cases lack metacognitive awareness higher level cognitive actions correlate diagnostic accuracy however role conceptual strategic conditional metacognitive knowledge clinical reasoning unknown medical students n 21 exposed three different clinical cases instructed use thinkaloud method recorded sessions transcribed coded regards four different categories diagnostic knowledge see transcripts coded using frequencies timecoding categories knowledge relationship coded data accuracy diagnosis investigated inferential statistical methods use metacognitive knowledge correlated application conceptual conditional strategic knowledge furthermore conceptual strategic knowledge application associated longer time task however contrast cognitive action levels use different categories diagnostic knowledge associated better diagnostic accuracy longer case work intense application conceptual knowledge individuals high metacognitive activity may hint towards reduced premature closure one major cognitive causes errors medicine additionally correct case solution cognitive actions seem important diagnostic knowledge categories