在早期临床学习者中探索认知倾向的知识,以响应临床决策
N Vinaykumar1, T S Gugapriya2, S Kalaiselvi3
1Department of Anatomy, Government Medical College, Palakkad 678013, Kerala, India.
Maedica
|August 17, 2023
概括
医疗学员经常犯错误,因为他们有认知反应 (CDR). 角色扮演视频和反思有效地训练早期临床学习者识别这些偏见,改善决策.
科学领域:
- 医学教育 医学教育
- 认知心理学 认知心理学
- 临床决策 - 临床决策
背景情况:
- 医疗错误是常见的,并导致诉讼.
- 响应的认知倾向 (CDR) 与临床决策错误有关.
- 在医学课程中对CDRs的认识有限,导致错误.
研究的目的:
- 探索早期临床学习者对CDRs的认识和识别.
- 评估不同训练方法对认知偏差的有效性.
主要方法:
- 医学毕业生,实习生和住院医生的自愿参与 (每组30人).
- 通过角色扮演视频接触常见的CDR,通过案例场景接触不常见的CDR.
- 使用描述性和主题分析进行数据分析.
主要成果:
- 75.6%的参与者发现了事后偏见;沉没成本偏见为34.4%.
- 信息处理偏差比心理处理偏差更多地被确定.
- 居民发现偏见的频率低于医学毕业生和实习生.
结论:
- 有反思性写作的角色扮演视频是对认知偏见的有效培训方法.
- 医学毕业生需要通过反射练习提高对CDRs的敏感性.
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