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Assessing judgment
1Department of Psychiatry, Boston City Hospital, Massachusetts 02118.
General Hospital Psychiatry
|May 1, 1988
Summary
Assessing clinical judgment remains challenging. This study proposes a new model to evaluate how clinicians manage uncertainty and make decisions, offering a framework for empirical testing and improved patient care.
Area of Science:
- Medical Education
- Cognitive Psychology
- Clinical Decision-Making
Background:
- Clinical judgment is crucial but difficult to assess.
- Existing methods for evaluating clinician judgment are inadequate.
- Clinicians frequently face situations requiring complex judgment.
Observation:
- The author reviews existing literature on judgment and decision-making.
- A novel model for assessing clinical judgment is proposed.
- The model focuses on the clinician's process of handling uncertainty.
Findings:
- The proposed model operationalizes the assessment of clinical judgment for empirical study.
- It evaluates how individuals appraise challenges and survey alternatives.
- The model assesses the deliberation process and commitment to a preference.
Implications:
- This work provides a framework for developing objective measures of clinical judgment.
- It can inform medical education and training programs.
- Improved assessment of judgment can lead to enhanced patient care and safety.