Table 2 Cognitive processes identified in the script analysis
From: Clinical decision-making and adaptive expertise in residency: a think-aloud study
Cognitive process | Definition | Verbal data |
|---|---|---|
Choosing | Choosing between different options (i.e., examination or treatment) | Christina is examining a patient who may have a fracture to the ankle and is considering if it warrants an x-ray. She has acknowledged a significant swelling but decides, “I actually think we should see if you can stand on it.” |
Concluding | Summarising and concluding on rationales for choices made | Ellen has been through the patient’s electronic journal and summarize her reflections: “We definitely need to take an ECG.” |
Information seeking | Actively seeking out ways for gaining more information | The EMTs has just finished the handover to Mark, where an unusual heart rate is reported. He explains therefore that “…the first I think I will do, is to take her hand and feel for her pulse…” |
Studying | Investigating information further, seeking a better understanding to make a diagnostic decision | Anne is examining a patient who has cut himself and explains that she usually repeats the patient’s answers, “…so they can elaborate on their story a bit.” |