Assessing Patient Management Plans of Doctors and Medical Students: An Illness Script Perspective

Abstract

The experienced physicians' accurate management plans are characterized by a high number of the Mx and Dx items. For sixth-year students the management plans are still incomplete, which leads to generic as well as inaccurate Mx orders. For fourth-year students, the Mx focus is lacking, and hence they seem to treat an Mx task as if it were a Dx task.

How to develop clinical reasoning in medical students and interns based on illness script theory: An experimental study

“…The insignificant difference in correct key features score, common key feature score, and discriminative key features score in posttest compared to pretest may demonstrate that medical students tend to choose key features rather than being accurate. These findings are in line with previous studies that indicated medical students are relatively insensitive to the nature and circumstances of the task (26)(27)(28)(29)(30)(31)(32)(33).…”

The twin traps of overtreatment and therapeutic nihilism in clinical practice

“…The notion that illness scripts also contain treatment knowledge is also consistent with the nature of scripts as a variant of schemas, goal‐directed knowledge structures that emerge from real‐life events to help us perform tasks efficiently. Research on the role of scripts in treatment judgements is close to non‐existent, but studies have suggested that components of the illness scripts influence management decisions and that scripts indeed contain treatment knowledge . Apparently doctors activate diagnostic as well as treatment knowledge simultaneously when faced with a patient problem.…”

The Differences of Subjective findings in Pattern Recognition among Experts, Novices and Students: a Quasi-Delphi Technique

“…The difference in pattern recognition between students and the expert groups might be a consequence of degree of prior experience with patients who have had similar problems. The matured pattern recognition develops accurate diagnosis and treatment strategy (26).…”