title: Clinical thinking in psychiatry.
abstract: I discuss the lack of precision in the term 'clinical reasoning' and its relationship to evidence-based medicine and critical thinking. I examine critical thinking skills, their underemphasis in medical education and successful attempts to remediate them. Evidence-based medicine (and evidence-based psychiatry) offer much but are hampered by the ubiquity and flaws of meta-analysis. I explore views of evidence-based medicine among psychiatry residents, as well as capacity for critical thinking in residents before and after a course in philosophy. I discuss decision making by experienced doctors and suggest possible futures of this issue.
authors: Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
authors: Lloyd A
authors: LA
authors: Wells
mesh_terms: D001291:Attitude of Health Personnel; D003657:Decision Making; D019317:Evidence-Based Medicine; D006801:Humans; D007396:Internship and Residency; D001523:Mental Disorders / Q000175:diagnosis*; D015201:Meta-Analysis as Topic; D011570:Psychiatry / Q000193:education; D013850:Thinking
keywords: clinical thinking; critical thinking; evidence-based psychiatry; logical fallacies; meta-analysis; residency training