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01.02 - Organizing Knowledge and Information

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Organizing Knowledge and

Information
Understanding disease

Normal  Func,oning  
Abnormal  Func,oning  
How  things  
normally  work   How  things   Syndromes  
can  go  awry   Diseases  
Collec,ons  of  
clinical  signs   Precise  
and  symptoms   diseases  and  
that  result   their  
treatment  and  
prognosis.  
How novices store infor mation
Myocardi,s  
Cholangi)s  

TTP   Lupus  

AIDS  

Vasculi,s  
Filing system organization
o  Depends  on  how  it  was  taught  
•  Mechanisms    
-­‐  (immunology,  neoplas,c,  metabolism)  
•  Organs/Systems    
-­‐  (cardio,  pulmonary,  renal)  
•  Disciplines  
-­‐  Pathophysiology,  Pharmacology,  Biochemistry  
Problem: Utilization in the Clinical Arena

o  Pa,ents  don’t  (generally)  come  in  with  


complaints  in  categories  
o  “Why  do  I  have  this  funny  rash?”    
                                                     -­‐-­‐-­‐rather  than-­‐-­‐-­‐  
o  Do  I  have  leukocytoclas9c  vasculi9s?  
Key: Knowledge Organization

The development of sophisticated


problem solving skills involves not only
an increase in the number of facts but a
change in the way those facts are
stored and used. –Georges Bordage, MD, PhD
Exper ts reorganize their knowledge
1  

2  

3  

4  

5  

6  

Signs  and  Symptoms   Syndromes   Disease  


Exper ts reorganize their knowledge
1  

2  

4  

5  

6  

Signs  and  Symptoms   Syndromes   Disease  


Multiple diseases cause the same syndrome

Streptococcal    
Pharyngi,s  

Acute   Infec,ous  
Retroviral  
Infec,on   Mononucleosis  

Syndrome  
Compare and Contrast Thinking

Streptococcal    
Pharyngi,s  

Acute   Infec,ous   Differen)a)ng    


Retroviral   Feature:  
Infec,on   Mononucleosis  
Present  in  2/3  similar  
diseases  

Syndrome  
Compare and Contrast Thinking (CCT)

Streptococcal    
Pharyngi,s  

Key  Feature:  
A  feature  present  
Acute   Infec,ous   Differen)a)ng    
In  only  one  of  these   Retroviral   Feature:  
condi,ons   Infec,on   Mononucleosis  
Present  in  2/3  similar  
diseases  

Syndrome  
Quiz 2
When  thinking  clinical  problem  solving,  all  of  the  
following  are  true  EXCEPT  
1.  Knowledge  organiza,on  is  as  important  as  knowledge  
acquisi,on  
2.  Experts  organize  knowledge  the  way  they  were  
trained  to  in  medical  school.    
3.  In  general,  many  diseases  can  present  with  the  same  
syndrome  (collec,on  of  signs  and  symptoms)  
 

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