Semantic competency as a marker of clinical reasoning performance

Purpose: This study sought to explore the relationship between semantic competence (or dyscompetence) displayed during think alouds performed by resident and attending physicians and clinical reasoning performance. Methods: Internal medicine resident physicians and practicing internists participated in “think-alouds” performed after watching videos of typical presentations of common diseases in internal medicine. The think-alouds were evaluated for the presence of semantic competence and dyscompetence and these results were correlated with clinical reasoning performance. Results: We found that the length of think-aloud was negatively correlated with clinical reasoning performance. Beyond this finding, however, we did not find any other significant correlations between semantic competence or dyscompetence and clinical reasoning performance. Conclusion: While this study did not produce the previously hypothesized findings of correlation between semantic competence and clinical r...研究目的：本研究旨在探讨住院医师（resident physicians）与主治医师（attending physicians）在完成有声思维法（think alouds）任务时所展现的语义能力（semantic competence）与语义能力缺陷（semantic dyscompetence），及其与临床推理表现之间的关联。 研究方法：本研究纳入内科住院医师与执业内科医师作为受试对象，令其观看内科常见疾病典型病例演示视频后完成有声思维法任务。随后对受试者的有声思维内容进行语义能力与语义能力缺陷的存在性评估，并将评估结果与临床推理表现进行相关性分析。 研究结果：本研究发现，有声思维法任务的时长与临床推理表现呈负相关。除此之外，未发现语义能力、语义能力缺陷与临床推理表现之间存在其他显著相关性。 研究结论：尽管本研究未能得出此前假设的语义能力与临床推理……