Framing consists of responding to the question: "What is it that I am supposed to do in this particular scenario?" After framing, there automatically appears an early hypothesis that the physician tries to verify. When findings do not fit the hypothesis, other hypotheses might be considered (type 1 reframing), sometimes even global reframing (type 2 refram-ing), such as, for example, "I am not dealing with a shoulder pain, I should consider domestic violence."

Trigger resolution consists of saying to oneself: "Stop asking or exploring the patient, I know the diagnosis or what to do." Sometimes the physician needs more time to achieve a diagnosis, but the tension of not knowing what to do is so important that the physician achieves critical tension, and the resolution trigger is activated. At this point the physician can accept as a good diagnosis an early hypothesis that does not fit well with the case.

The optimum work zone avoids extreme values in arousal and hedonic (pleasure) tone. Extreme positions make cognitive processes difficult.

Observe that in a point of time (P) the physician applies lower level schemata, increasing the rate of errors. When this happens, the physician needs a cognitive alibi, such as "I am very tired," "this patient is exaggerating," etc.