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Fast and Slow Reasoning in Physiotherapy Practice

While everyone thinks, not everyone thinks about their thinking. This presentation will provide an overview of key clinical reasoning theory. Read more ↓
9 Episodes 2h 17m
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Episodes
01
Noise in Professional Judgment and Why Clinical Reasoning Matters

How noise, the unwanted variability in professional judgments, shows up across professions, medicine and physiotherapy, and why skilled clinical reasoning is needed to keep physiotherapy judgments consistent and reliable.

10:57
02
The ICF Model and the Many Foci of Clinical Reasoning

How the World Health Organization model of health and disability defines the scope of clinical reasoning, and the different foci of reasoning physiotherapists use, from diagnostic and psychosocial to collaborative, ethical, procedural and prognostic.

10:34
03
The Reasoning Process, Deduction, Induction and Pattern Recognition

The steps of the clinical reasoning process, from data collection, perception and interpretation to hypothesis testing, and how deduction and slow analysis differ from induction, fast reasoning and pattern recognition.

11:08
04
Clinical Patterns and the Factors That Shape Good Reasoning

The many types of clinical patterns physiotherapists learn to recognize, how judgments, interventions and reassessment complete the reasoning cycle, and four factors that shape reasoning: knowledge, cognition, metacognition and data collection skills.

10:44
05
Types of Clinical Judgment and the Criteria for Good Reasoning

Predictive, evaluative, verifiable and non-verifiable clinical judgments, the criteria that mark good clinical reasoning, and how each question in the subjective examination can be linked to the judgments it informs.

16:24
06
Judgment Categories, Classification, Pain Mechanisms and Source

The core categories of clinical judgment, with a focus on problem classification by pathology, pain mechanism and source of symptoms, including the clinical patterns of nociceptive, neuropathic and nociplastic pain.

21:17
07
Impairments, Contributing Factors, Safety and Red Flags

How to reason about impairments, the contributing factors behind a problem, and the safety judgments that decide how far to examine and treat, including red flags, constitutional symptoms and watch and wait.

21:28
08
Procedural Reasoning, Clinical Guidelines, Reassessment and Prognosis

How procedural reasoning tailors clinical guidelines to the individual patient, how to choose which impairment to treat first, how structured reassessment guides progression, and which factors shape a prognosis.

17:13
09
Reasoning Errors, Assumptions and Reducing Noise in Physiotherapy

Common errors and biases in clinical reasoning, the assumptions behind them, practical strategies to avoid them, and how noise audits and decision hygiene could reduce unwanted variability in physiotherapy judgments.

17:34

This lecture covers:

  • The cognitive processes used in clinical reasoning
  • The different focus of clinical reasoning in physiotherapy
  • Key clinical judgments important to physiotherapy practice
  • Common errors in clinical reasoning
  • Strategies to minimize errors and improve clinical reasoning

Learning points:

On completion of this presentation along with Psychosocial Focused Reasoning lecture:

  1. Participants will increase their understanding of the cognitive processes and essential clinical judgments in clinical reasoning within a biopsychosocial framework.
  2. Participants will learn common errors of clinical reasoning.
  3. Participants will learn strategies to minimize reasoning errors.
  4. Participants will learn strategies to reduce “noise” in physiotherapy judgments and for improving clinical reasoning.
     
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