The Shoulder Physio Podcast

#14 Cognitive biases in physiotherapy – with Jarrod Hall

18 snips
May 17, 2022
Jared Hall, a Texas physical therapist focused on pain science and chronic musculoskeletal care, chats about human thinking and clinical decision making. They cover where cognitive shortcuts come from. They examine common biases in practice, why clinicians favor action, and practical ways to notice and reduce thinking traps.
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INSIGHT

Cognitive Biases Are Adaptive Shortcuts

  • Cognitive biases are subconscious shortcuts that help us process vast information quickly.
  • Jared Hall explains they are evolutionarily adaptive but create systematic errors in clinical judgement when over-relied upon.
ANECDOTE

Weekend Courses Can Inflate Clinical Use

  • Availability bias makes recently learned techniques feel like universal solutions.
  • Jared Hall recounts taking many weekend courses (e.g., dry needling) and then overusing them because they were front of mind.
INSIGHT

Memorable Cases Drive Over-Testing And Harm

  • Over-testing driven by availability can cascade into harm via unnecessary interventions.
  • Jared Hall warns a memorable rare finding (e.g., neoplasm on x-ray) leads clinicians to image routinely, escalating to unnecessary surgeries.
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