Practice, Laws, Business etc Flashcards
Clinical reasoning, type 2 vs type 1.
Type 1 ‘pattern recognition’
- Non-analytical
- Rapid decision making
- Experience
- Intuitive
- Learning list
Type 2 ‘first principles’
- Analytical
- Reflective
- Hypothesis formation
- Abstract reasoning
- “Rational” thinking
- Overtime type 1 will become type 2 as you become more experienced and illness scripts are developed, will still use type 2 as become expert but better at quickly identifying when need to use more type 2
Type 1 clinical reasoning 5 types of bias.
- 1). Premature closure - accepting the Dx before it has been fully verified; patients with more than one problem causing symptoms; not performing further investigations and tests
- 2). Confirmation Bias - look for confirming evidence and discount any evidence that doesn’t conform with the initial theory, should look at all results and images
- 3). Availability Bias - e.g. new research/evidence for disease etc e.g. Alabama Rot, swaying the Dx
- 4). Gambler’s Fallacy - clinicians continue to Dx conditions according to expected prevalence even when given a skewed population e.g. 80% displaced abomasums are LDA, but in population of RDA, final Dx, without fully knowing Dx as LDA
- 5). Framing Effect - e.g. when the client frames the history and misses information out; case handovers between different colleagues
Type 2 clinical reasoning bias.
When the test value doesn’t fully reach a standard threshold - e.g. glucose level needs to be x level to go into Sx when there are other imaging and Dx tests to be performed to confirm Sx
Prescribing cascade in Great Britain. (6)
MRLs =
Maximum residue limits = when considered as not being pharmacologically active
Authorisation categories. (4)
Authorisation categories and suppliers. (4)
Written prescription requirements. (12)
Controlled drugs prescription + additional requirements. (8 extra)
Food-producing animal prescription requirements. (6)
Drug labelling requirements. (13)
