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Consistency in diagnostic suggestions does not influence the tendency to accept them
Kees van den Berge1, Silvia Mamede2, Tamara van Gog3
1Department of Internal Medicine, Erasmus Medical Centre, Rotterdam, the Netherlands.
Canadian Medical Education Journal
|October 10, 2015
Summary
Residents did not accept more incorrect diagnostic suggestions after seeing correct ones. However, a general tendency to accept suggestions persists, potentially leading to diagnostic errors.
Area of Science:
- Medical Education
- Clinical Decision-Making
- Diagnostic Reasoning
Background:
- Previous research indicates residents accept diagnostic suggestions, risking errors with incorrect advice.
- Existing studies often overlook the impact of encountering correct suggestions first in clinical practice.
Purpose of the Study:
- To investigate how the order of correct versus incorrect diagnostic suggestions affects residents' acceptance rates.
- To test the hypothesis that prior exposure to correct suggestions increases acceptance of subsequent incorrect ones.
Main Methods:
- Thirty-eight residents evaluated eight clinical cases with suggested diagnoses.
- Participants were divided into two groups: correct-then-incorrect (C/I) or incorrect-then-correct (I/C) suggestion sequences.
Main Results:
- No significant difference in evaluation scores between the C/I and I/C conditions was observed.
- A significant interaction revealed higher scores for correct suggestions compared to incorrect ones, irrespective of order.
Conclusions:
- The sequence of correct or incorrect diagnostic suggestions does not influence acceptance rates.
- Residents exhibit an overall inclination to accept diagnostic suggestions, posing a risk for diagnostic errors.
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