"考虑相反的"偏见,以提高麻醉学学员的自我评估准确性:一个前性试验前后试验研究
Lukas H Matern1, Keith Baker, Daniel Saddawi-Konefka
1From the Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.
A&A practice
|January 10, 2025
概括
认知失调技术并没有显著改善麻醉学住院医生的技术技能自我评估准确度. 虽然沟通和领导力自我评估的准确性略有改善,但它没有达到有意义影响的门.
科学领域:
- 医学教育 医学教育
- 认知心理学 认知心理学
背景情况:
- 准确的自我评估对于医生学习和患者护理至关重要.
- 住院医生经常表现出较差的自我评估准确性.
- 认知失调技术旨在改善判断和决策.
研究的目的:
- 评估考虑相反 (CTO) 认知失调技术的有效性.
- 评估CTO对麻醉学住院医生的自我评估准确性的影响.
- 确定CTO是否提高了技术技能和沟通/领导能力的自我评估.
主要方法:
- 麻醉科住院医生对技术和沟通/领导能力进行了初步自我评估.
- 参与者接受了CTO干预,旨在挑战他们最初的判断.
- 在CTO干预后,居民重复自我评估.
主要成果:
- 技术技能自我评估的准确性在干预后没有显著变化 (1.00%,95%CI -7.46%至10.0%).
- 对沟通/领导能力的自我评估准确度提高了5.63% (95% CI 0.001%-16.9%),但这不被认为是一个有意义的影响.
- CTO的干预没有显示出整体自我评估准确度的令人信服的改善.
结论:
- 经过测试的CTO干预并没有显著提高麻醉学住院医生对技术技能自我评估的准确性.
- 虽然在沟通/领导力自我评估方面观察到小幅改善,但缺乏临床意义.
- 可能需要进一步的研究来探索替代或精细的认知策略,以改善医生自我评估.
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