International Journal of
Medicine and Medical Sciences

  • Abbreviation: Int. J. Med. Med. Sci.
  • Language: English
  • ISSN: 2006-9723
  • DOI: 10.5897/IJMMS
  • Start Year: 2009
  • Published Articles: 535

Review

Real-world medical diagnosis: Intuitive process revisited (review)

Taro Shimizu
  • Taro Shimizu
  • Rollins School of Public Health, Emory University, Georgia, Atlanta, USA.
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Yasuharu Tokuda
  • Yasuharu Tokuda
  • Institute of Clinical Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan.
  • Google Scholar


  •  Accepted: 07 November 2012
  •  Published: 30 November 2012

Abstract

 

One cannot overlook the fact that diagnostic errors which constitute the largest proportion of errors in medical care have a direct bearing on patient’s outcomes. Clinical reasoning ability is closely related to the avoidance of diagnostic errors and clinical reasoning during diagnosis has been explained by a “dual processes model” comprising two elements. The first is the intuitive process (System 1), which emphasizes intuition-based rapidity and the other is the analytical process (System 2), which is an analytical and a scientific process. In this review, the underemphasized intuition-based approach of the first system is highlighted and examined from a clinical and practical perspective.

 

Key words: Diagnosis, analytical, clinical, system 1, system 2