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Year 12/2019 
Issue 32

Rational Models Of Clinical Reasoning

Wojciech Rutkiewicz
Uniwersytet Warszawski

12/2019 (32) Decyzje

DOI 10.7206/DEC.1733-0092.132


Debate regarding evidence based medicine in current state focuses on basic philosophical as-sumptions of paradigm announced in 1992 by EBM Working Group. One of the topic in this debate is clinical reasoning in light of medical decision-making. Polish literature still lacks of comprehensive presentation in this theoretical fi eld. In current article I present overview of models of clinical reasoning. I begin from the debate of rationality distinguishing two positions called meliorism and panglosianism. Next I proceed to elaboration of three models for clinical reasoning in context of meliorists position. It gives an opportunity to look closer for inferential rules of clinical decision-making and as a result may be precious perspective for future re-search and medical education.


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Rutkiewicz, Wojciech (2019). Rational Models Of Clinical Reasoning. (2019). Rational Models Of Clinical Reasoning. Decyzje, (32), 77-102. https://doi.org/10.7206/DEC.1733-0092.132 (Original work published 12/2019AD)

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Rutkiewicz, Wojciech. “Rational Models Of Clinical Reasoning”. 12/2019AD. Decyzje, no. 32, 2019, pp. 77-102.

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Rutkiewicz, Wojciech. “Rational Models Of Clinical Reasoning”. Decyzje, Decyzje, no. 32 (2019): 77-102. doi:10.7206/DEC.1733-0092.132.