Diagnostic conversations: Clinical Decision Making in surgery - Part 2
David Allan Watters1, Spencer Wynyard Beasley1, Wendy Crebbin2
11Royal Australasian College of Surgeons, Melbourne, Australia.
Diagnosis (Berlin, Germany)
|March 16, 2018
Summary
Learning from surgical experience requires reviewing decision-making processes. A new Clinical Decision Making (CDM) training course helps junior surgeons gain insight into their choices, improving future surgical performance.
Area of Science:
- Medical Education
- Surgical Training
- Cognitive Science in Medicine
Background:
- Proceduralists often fail to learn from experience without reviewing decision-making.
- Developing insight into clinical decision-making is a significant challenge for junior surgeons.
Purpose of the Study:
- To introduce a model for explaining clinical decision-making processes.
- To incorporate this model into a Clinical Decision Making (CDM) training course for surgeons.
- To enhance the quality of post-operative decision-making through case-based review.
Main Methods:
- Development of a Clinical Decision Making (CDM) model by surgeons and staff.
- Integration of the CDM model into a training course.
- Application of the model by faculty to specific surgical cases for analysis.
- Focus on reviewing post-operative clinical decisions in a case-based format.
Main Results:
- The CDM course provides a framework for identifying decision-making processes as they occur.
- Case-based interactions highlight learning opportunities within surgical decision-making.
- Reviewing post-operative decisions facilitates improvement in subsequent decision-making quality.
Conclusions:
- Effective surgical learning necessitates reflection on decision-making, not just outcomes.
- The CDM training course offers a structured approach to developing surgical insight.
- Post-operative decision review is crucial for enhancing future clinical judgment in surgery.
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