MICHAEL D. REYNOLDS, M.D.
To the editor: The recent paper "Clinical Problem Solving: A Behavioral Analysis," by Drs. Kassirer and Gorry (Ann Intern Med 89:245-255, 1978) provides evidence about the thought processes used by physicians when eliciting and recording clinical information. In accord with the authors' thesis, I have for several years taught student-physicians that the logical structure of the written report of interview and examination of a patient is determined by the clinician's formulation of a series of hypotheses about the illness. This model of the physician's behavior has a number of important corollaries worth noting.
1. A physician cannot use a complete
REYNOLDS MD. Clinical Problem Solving. Ann Intern Med. ;89:1006. doi: 10.7326/0003-4819-89-6-1006_1
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Published: Ann Intern Med. 1978;89(6):1006.
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