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Clinical judgement and clinical training

F N Watts

    The British Journal of Medical Psychology
    |June 1, 1980
    PubMed
    Summary

    Clinical training can negatively impact clinical judgment by altering listening and inference modes. Training should balance objective, low-risk strategies with intuitive, high-risk approaches for better decision-making.

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    Area of Science:

    • Medical Education
    • Clinical Psychology
    • Cognitive Science

    Background:

    • Clinical training is essential for healthcare professionals.
    • Existing literature suggests clinical training may sometimes negatively impact clinical judgment.
    • This impact may stem from changes in clinical listening, inference, and information weighting.

    Purpose of the Study:

    • To theoretically discuss how clinical training affects clinical judgment.
    • To explore the hypothesis that training promotes high-risk judgment strategies.
    • To examine the construct validity of analytic versus non-analytic judgment.

    Main Methods:

    • Theoretical analysis of existing literature on clinical judgment and training.
    • Focus on the impact of training on judgment strategies (analytic vs. non-analytic).
    • Discussion of risk-taking in clinical decision-making.

    Main Results:

    • Clinical training may lead to qualitative shifts in clinical listening and inference.
    • Training might increase reliance on stereotypic information over individual case details.
    • Training may encourage higher-risk judgment strategies.

    Conclusions:

    • Clinical training requires a dual approach, addressing both objective, low-risk judgment and intuitive, high-risk judgment styles.
    • Effective clinical judgment involves the judicious integration of these different styles.
    • Practical training methods should be developed to foster this balance.

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