IMreasoning - Clinical reasoning for Doctors and Students 2: Biases
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Aug 1, 2015 The discussion delves into the fascinating world of biases in clinical reasoning, inspired by Daniel Kahneman's theories of fast and slow thinking. A gripping case study illustrates the dangers of misdiagnosis, showcasing how an alcoholic gastritis diagnosis temporarily obscured a life-threatening aortic dissection. The hosts explore cognitive biases like confirmation bias and anchoring bias, stressing the need for thorough evaluations. They also reflect on navigating clinical reasoning complexities, underscoring the importance of recognizing and addressing subconscious biases for better patient outcomes.
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Misdiagnosed Aortic Dissection
- Art Nahill misdiagnosed an aortic dissection as gastritis in a patient with an alcohol history.
- The patient later returned, the correct diagnosis was made, and the patient received successful surgery.
Framing Bias
- Framing bias significantly impacts diagnosis, as initial framing can create a bias.
- Both the presenter and listener contribute to framing bias.
Healthy Skepticism
- Maintain healthy skepticism when receiving information, especially diagnoses from others.
- Consciously challenge presented diagnoses and look for evidence to refute them.
