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A preclinical course in decision making

A S Elstein, D R Rovner, M L Rothert

    Medical Decision Making : an International Journal of the Society for Medical Decision Making
    |January 1, 1982
    PubMed
    Summary
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    This preclinical curriculum revision enhances medical students' clinical reasoning by integrating psychological principles, decision analysis, ethics, and health economics. The updated course aims to change physicians' understanding of value, uncertainty, and data interpretation.

    Area of Science:

    • Medical Education
    • Preclinical Curriculum
    • Clinical Reasoning

    Background:

    • Existing multidisciplinary sequence at Michigan State University College of Human Medicine.
    • Need to incorporate psychological principles, decision analysis, ethics, and health economics.

    Purpose of the Study:

    • To revise a preclinical curriculum sequence.
    • To enhance medical students' understanding of clinical reasoning, ethical issues, and health economics.

    Main Methods:

    • A four-term sequence with weekly lectures and group discussions.
    • Utilized graded paper-and-pencil cases coordinated with biological science courses.
    • Developed case-based examinations including multiple choice, true-false, and essay questions.

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    Main Results:

    • The revised course emphasizes psychological principles in clinical reasoning.
    • Students engage with complex cases covering ethical and economic considerations.
    • Examinations assess understanding of nuanced clinical scenarios.

    Conclusions:

    • The revised curriculum aims to fundamentally alter physicians' conceptions of value and benefit.
    • The course addresses the management of uncertainty in medical practice.
    • It challenges the traditional view of data and information equivalence.