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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Using "Own-Point-of-View" Video and Stimulated Recall to Reveal Physician Thought Processes: A Methodology Paper
Milisa Manojlovich1, Caitlin Cassady2, Sarah J Parker2
1University of Michigan School of Nursing, Ann Arbor, Michigan.
Video-assisted stimulated recall interviews offer novel insights into emergency physicians' diagnostic reasoning. This method reveals complex cognitive processes, enhancing understanding of medical decision-making in chaotic environments.
Area of Science:
- Medical Education
- Cognitive Science
- Emergency Medicine
Background:
- Video methods are the "gold standard" for capturing events in real-time.
- Stimulated recall interviews, enhanced by video, deepen understanding of participants' thought processes.
- Existing literature lacks detailed descriptions of video-based stimulated recall methods.
Purpose of the Study:
- To describe the application of video-assisted stimulated recall interviews.
- To explore the evolution of the diagnostic process for emergency physicians.
- To utilize the theory of distributed cognition for analysis.
Main Methods:
- Qualitative study in pediatric and adult emergency departments.
- Participants wore head-mounted cameras during patient care.
- Stimulated recall interviews used video clips and content analysis.
Main Results:
- 11 physicians recorded 24.4 hours of patient encounters.
- Interviews revealed cognitive complexity in both physicians and patients.
- Physicians require significant effort to elicit patient information in the ED.
Conclusions:
- Innovative methods can uncover physicians' cognitive processes.
- This methodology enhances understanding of diagnostic reasoning.
- Making thoughts visible allows for reflection and potential change.
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