文章基本信息

标题：Experienced physicians benefit from analyzing initial diagnostic hypotheses
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作者：Adam Bass ; Colin Geddes ; Bruce Wright 等
期刊名称：Canadian Medical Education Journal
电子版ISSN：1923-1202
出版年度：2013
卷号：4
期号：1
页码：1-9
DOI：10.36834/cmej.36589
出版社：Canadian Medical Education Journal
摘要：Background: Most incorrect diagnoses involve at least one cognitive error, of which premature closure is the most prevalent. While metacognitive strategies can mitigate premature closure in inexperienced learners, these are rarely studied in experienced physicians. Our objective here was to evaluate the effect of analytic information processing on diagnostic performance of nephrologists and nephrology residents. Methods: We asked nine nephrologists and six nephrology residents at the University of Calgary and Glasgow University to diagnose ten nephrology cases. We provided presenting features along with contextual information, after which we asked for an initial diagnosis. We then primed participants to use either hypothetico-deductive reasoning or scheme-inductive reasoning to analyze the remaining case data and generate a final diagnosis.
关键词：medical error; cognitive processing; analytic processing