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Competency 7. Develop and carry out management plans

      This competency is intimately enmeshed with other competencies and domains of competence described in this document. It is perhaps most intimately linked to competency 6: “Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment.” Much of the literature refers to “making informed diagnostic and therapeutic decisions” and “developing management plans” with one voice,
      • Charlin B.
      • Boshuizen H.P.
      • Custers E.J.
      • Feltovich P.J.
      Scripts and clinical reasoning.
      • Norman G.
      • Young M.
      • Brooks L.
      Non-analytical models of clinical reasoning: the role of experience.
      • Schmidt H.G.
      • Rikers R.M.
      How expertise develops in medicine: knowledge encapsulation and illness script formation.
      often under the rubric of clinical judgment. The literature on illness scripts is particularly pertinent and has been covered in the “Make informed diagnostic and therapeutic decisions…” competency.
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      References

        • Charlin B.
        • Boshuizen H.P.
        • Custers E.J.
        • Feltovich P.J.
        Scripts and clinical reasoning.
        Med Educ. 2007; 41: 1178-1184
        • Norman G.
        • Young M.
        • Brooks L.
        Non-analytical models of clinical reasoning: the role of experience.
        Med Educ. 2007; 41: 1140-1145
        • Schmidt H.G.
        • Rikers R.M.
        How expertise develops in medicine: knowledge encapsulation and illness script formation.
        Med Educ. 2007; 41: 1133-1139
        • Nilsson M.S.
        • Pilhammar E.
        Professional approaches in clinical judgments among senior and junior doctors: implications for medical education.
        BMC Med Educ. 2009; 9: 25