Diagnostic Reasoning
Authors: Liliana Grigorita, Andreea Stan, Boban Thomas
Journal: Annals of Internal Medicine (2018)

Letters15 May 2018Diagnostic ReasoningLiliana Grigorita, MD, Andreea Stan, MD, and Boban Thomas, MDLiliana Grigorita, MDOur Lady's Hospital, Navan, Ireland (L.G., A.S., B.T.)Search for more papers by this author, Andreea Stan, MDOur Lady's Hospital, Navan, Ireland (L.G., A.S., B.T.)Search for more papers by this author, and Boban Thomas, MDOur Lady's Hospital, Navan, Ireland (L.G., A.S., B.T.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Simpkin and colleagues' (1) timely commentary on diagnostic reasoning reminds us of T.S. Eliot's poem “The Rock,” which asks, “Where is the wisdom we have lost in knowledge? Where is the knowledge we have lost in information?” The data, information, knowledge, and wisdom model in information science hypothesizes the gradual transformation from raw data toward wisdom, interspersed with information and knowledge.The organization of raw data after a considerable amount of noise has been taken out is what creates information (2). Most undergraduate medical education still revolves around the acquisition of information and its retrieval. Knowledge is ...References1. Simpkin AL, Vyas JM, Armstrong KA. Diagnostic reasoning: an endangered competency in internal medicine training. Ann Intern Med. 2017;167:507-8. [PMID: 28892818]. doi:10.7326/M17-0163 LinkGoogle Scholar2. Rowley J. The wisdom hierarchy: the representations of the DIKW hierarchy. Journal of Information Science. 2007;33:163-80. CrossrefGoogle Scholar3. Trimble M, Hamilton P. The thinking doctor: clinical decision making in contemporary medicine. Clin Med (Lond). 2016;16:343-6. [PMID: 27481378] doi:10.7861/clinmedicine.16-4-343 CrossrefMedlineGoogle Scholar4. Kanzaria HK, Hoffman JR, Probst MA, Caloyeras JP, Berry SH, Brook RH. Emergency physician perceptions of medically unnecessary advanced diagnostic imaging. Acad Emerg Med. 2015;22:390-8. [PMID: 25807868] doi:10.1111/acem.12625 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Our Lady's Hospital, Navan, Ireland (L.G., A.S., B.T.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0009. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDiagnostic Reasoning: An Endangered Competency in Internal Medicine Training Arabella L. Simpkin , Jatin M. Vyas , and Katrina A. Armstrong Diagnostic Reasoning David M. Mitchell Diagnostic Reasoning Paul F. Griner Diagnostic Reasoning Arabella L. Simpkin , Jatin M. Vyas , and Katrina A. Armstrong Metrics 15 May 2018Volume 168, Issue 10Page: 751KeywordsAerobic exerciseArchivesConflicts of interestDietDisclosureFearInformation retrievalMedical educationReasoningSleep ePublished: 15 May 2018 Issue Published: 15 May 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...