The Sherlock Holmes method in clinical practice.
This article lists the integral elements of the Sherlock Holmes method, which is based on the intelligent collection of information through detailed observation, careful listening and thorough examination. The information thus obtained is analyzed to develop the main and alternative hypotheses, which are shaped during the deductive process until the key leading to the solution is revealed. The Holmes investigative method applied to clinical practice highlights the advisability of having physicians reason through and seek out the causes of the disease with the data obtained from acute observation, a detailed review of the medical history and careful physical examination.
Unidad de Trombosis y Vasculitis, Complexo Hospitalario Universitario de Vigo (CHUVI), Vigo, Pontevedra, España; Facultad de Medicina, Universidad de Santiago de Compostela, Santiago de Compostela, La Coruña, España. Electronic address: bernardosopena@yahoo.es.
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Sopeña
D049672:History, 19th Century; D006801:Humans; D008093:Literature, Modern / Q000266:history; D010808:Physical Examination / Q000379:methods*; D010820:Physicians / Q000458:organization & administration* / Q000592:standards; D010818:Practice Patterns, Physicians' / Q000458:organization & administration* / Q000592:standards
Clinical method; Clinical skills; Enseñanza de la medicina; Exploración física; Habilidades clínicas; Historia clínica; Medical history; Método clínico; Physical examination; Sherlock Holmes; Teaching medicine