Clinical Reasoning Model

"The tension between the practice and knowledge development is inevitable and act in a positive way as source of advancement the knowledge" Dunn & Foreman said: In my opinion, it is normal to have some conflicts between the knowledge and practice during the practical life, where some of the professionals have their own beliefs which do not match with the evidence. Therefore, this conflict could be considered as a good opportunity for the professional either to build up a clinical decision based on his beliefs which may contradict with the evidence or search for the evidence that assist and support him or her to take the most optimal decision. Consequently, this process will facilitate the knowledge development. In addition, practice can open

Physiotherapy profession has many clinical reasoning models which can be applied during the practice like hypothetico-deductive reasoning, pattern recognition reasoning, and narrative reasoning (Christensen, Jones, & Carr, 2002). The hypothetico-deductive reasoning involves that collected information from the client and creating a hypothesis which should be tested. Pattern recognition reasoning occurs when the clinician has an experience in recognizing similar clinical presentation seen previously with other patients. When same clinical presentations appear, the clinician may take similar clinical reasoning as taken before for similar cases. This model is possible to be applied by well organized knowledge base and experienced clinicians. Generally, this model is rarely used by novice, whereas, hypothetico-deductive reasoning is mostly used by novice (Jones, 1992). The expert clinicians use hypothetico-deductive reasoning, pattern recognition reasoning, and narrative or collaborative reasoning models as the evidence reported (May, Greasley, Reeve, & Withers, 2008). Novice spends less time in taking the patient 's history and more time in examination when compare with expert (Doody & McAteer, 2002). On the contrary, expert extracts only the needed important key points from the patient 's history that help in physical diagnosis, thus, client centered approach is involved through the collaborative reasoning model (Resnik & Jensen, 2003). The expert clinician owns good communication skills while assessing the patient, where he or she gives more time for the patient to explain and discuss his or her case (Jensen, Shepard, Gwyer, & Hack, 1992). Doody and McAteer founded that the novice has some errors in testing the hypothesis and difficulty in judgment during applying hypothetico-deductive reasoning model. Moreover, they attempt to tailor the treatment to