Model of Medical Expertise : Why teach "thought process"

Main Article Content

Prapan Yodnophaklao


This special article explained the model of medical expertise, including possession of extensive knowledge built through purposeful, continuous engagement in clinical practice; possession of the skills to effectively gather patient stories; reflective integration of that knowledge and those patient stories during diagnoses; and continuous learning through clinical practice. The article was published in Thai language.

Article Details

How to Cite
Yodnophaklao, P. (2013). Model of Medical Expertise : Why teach "thought process". Ramathibodi Medical Journal, 36(3), 235–240. Retrieved from
Special Articles


Mylopoulos M, Lohfeld L, Norman GR, Dhaliwal G, Eva KW. Renowned physicians' perceptions of expert diagnostic practice. Acad Med. 2012;87(10):1413-1417.

Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499.

Yodnophaklao P. Oslerian approach and how doctor think. 12rd Conference of Collaborative Project to Increase Production of Rural Doctor (CPIRD 2013), September 18-20, 2013.

Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006;355(21):2217-2225.

Caplan LR. The effective clinical neurologist. Cambridge, Blackwell Scientific Publication, 2011.

Franklyn-Miller AD, Falvey EC, McCrory PR. Patient-based not problem-based learning: an Oslerian approach to clinical skills, looking back to move forward. J Postgrad Med. 2009;55(3):198-203. doi:10.4103/0022-3859.57404.

Kahneman D, Slovic P, Tversky A, eds. Judement under uncertainty: heuristics and biases. Cambridge UK: Cambridge University Press; 1892.

Kahneman D. Maps of bounded rationality: a perspective on intuitive judement and choice. In: Frangsmyr T (ed). Les Prix Nobel. The Nobel Prizes 2002. Almqvist & Wiksell International, Stockholm; 2003:416-499.

Haynes RB, Devereaux PJ, Guyatt GH. Clinical expertise in the era of evidence-based medicine and patient choice. ACP J Club. 2002;136(2):A11-A14.

Smith CD; Alliance for Academic Internal Medicine–American College of Physicians High Value; Cost-Conscious Care Curriculum Development Committee. Teaching high-value, cost-conscious care to residents: the Alliance for Academic Internal Medicine–American College of Physicians Curriculum. Ann Intern Med. 2012;157(4):284-286.