Core IM | Internal Medicine Podcast
#134 Diagnostic Errors & Excellence
Sep 6, 2023
Explore improving diagnostic errors, cognitive biases, and practices to decrease error in medical education research. Emphasize the importance of building knowledge base and illness scripts. Highlight significance of reflection, feedback, and creative ways to obtain feedback in clinical practice.
30:24
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Quick takeaways
- Medical education should focus on enhancing system one thinking to improve diagnostic accuracy.
- Understanding cognitive biases alone is not enough to reduce diagnostic errors; identifying underlying factors is crucial.
Deep dives
Rethinking traditional teaching around clinical reasoning
Traditional training prioritizes system two thinking over system one thinking, categorizing system one as error-prone and system two as rational and logical. However, research shows that slowing down and being cautious does not necessarily improve diagnostic accuracy. Experts rely heavily on system one thinking, which is based on experiential knowledge, pattern recognition, and quick decision-making. The balance between system one and system two is crucial, and experts tend to stay more in the system one mode. Therefore, rather than discouraging system one, educational strategies should be developed to enhance it.
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