Core IM | Internal Medicine Podcast

#134 Diagnostic Errors & Excellence

27 snips
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.
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INSIGHT

System 1 Effectiveness

  • System 1 thinking, often criticized as sloppy, is actually efficient and effective.
  • Relying on System 1, or "trusting your gut," can be accurate, especially for experts.
ANECDOTE

Slowing Down Study

  • Dr. Norman's study showed minimal accuracy improvement (2%) when physicians slowed down.
  • Even with more reflection time, overall accuracy barely changed.
INSIGHT

Cognitive Biases as Descriptions

  • Cognitive biases are descriptive, not explanatory.
  • Identifying a bias is less helpful than determining its underlying cause.
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