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  1. What are the three domains of outcomes regarding competencies in hospital medicine?

  2. What is meant by “critical thinking” in the ordering of imaging studies?

Competencies in hospital medicine are classified within three domains of outcomes: cognitive (knowledge), psychomotor (skills), and affective (attitudes). Critical thinkers must have a basic knowledge about the methods of logical inquiry and reasoning (cognitive), some skill in applying these methods (psychomotor), and an attitude predisposed to thoughtful consideration of the problems and subjects that come within the range of one's experiences (affective). They must recognize the problems confronting patients; ask the right questions to address those problems; gather pertinent data from many sources; efficiently, logically, and resourcefully sort through complex information; acknowledge personal biases that may hinder analysis; interpret data in the context of each patient before them; and expediently reach trustworthy conclusions that form the basis of therapeutic approaches (Tables 112-1 and 112-2).

Table 112-1 Critical Thinking Sidebar
Table 112-2 Clinical Problem Solving

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