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Effect of Availability Bias and Reflective Reasoning on Diagnostic Accuracy Among Internal Medicine Residents

Effect of Availability Bias and Reflective Reasoning on Diagnostic Accuracy Among Internal... ORIGINAL CONTRIBUTION Effect of Availability Bias and Reflective Reasoning on Diagnostic Accuracy Among Internal Medicine Residents Sı´lvia Mamede, MD, PhD Context Diagnostic errors have been associated with bias in clinical reasoning. Em- Tamara van Gog, MSc, PhD pirical evidence on the cognitive mechanisms underlying biases and effectiveness of educational strategies to counteract them is lacking. Kees van den Berge, MD Objectives To investigate whether recent experience with clinical problems pro- Remy M. J. P. Rikers, Msc, PhD vokes availability bias (overestimation of the likelihood of a diagnosis based on the Jan L. C. M. van Saase, MD, PhD ease with which it comes to mind) resulting in diagnostic errors and whether reflec- tion (structured reanalysis of the case findings) counteracts this bias. Coen van Guldener, MD, PhD Design, Setting, and Participants Experimental study conducted in 2009 at the Henk G. Schmidt, MSc, PhD Erasmus Medical Centre, Rotterdam, with 18 first-year and 18 second-year internal medi- MAJOR AIM OF EVERY CLINI- cine residents. Participants first evaluated diagnoses of 6 clinical cases (phase 1). Subse- cal teacher is to foster the quently, they diagnosed 8 different cases through nonanalytical reasoning, 4 of which quality of students’ and resi- had findings similar http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Effect of Availability Bias and Reflective Reasoning on Diagnostic Accuracy Among Internal Medicine Residents

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2010.1276
pmid
20841533
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL CONTRIBUTION Effect of Availability Bias and Reflective Reasoning on Diagnostic Accuracy Among Internal Medicine Residents Sı´lvia Mamede, MD, PhD Context Diagnostic errors have been associated with bias in clinical reasoning. Em- Tamara van Gog, MSc, PhD pirical evidence on the cognitive mechanisms underlying biases and effectiveness of educational strategies to counteract them is lacking. Kees van den Berge, MD Objectives To investigate whether recent experience with clinical problems pro- Remy M. J. P. Rikers, Msc, PhD vokes availability bias (overestimation of the likelihood of a diagnosis based on the Jan L. C. M. van Saase, MD, PhD ease with which it comes to mind) resulting in diagnostic errors and whether reflec- tion (structured reanalysis of the case findings) counteracts this bias. Coen van Guldener, MD, PhD Design, Setting, and Participants Experimental study conducted in 2009 at the Henk G. Schmidt, MSc, PhD Erasmus Medical Centre, Rotterdam, with 18 first-year and 18 second-year internal medi- MAJOR AIM OF EVERY CLINI- cine residents. Participants first evaluated diagnoses of 6 clinical cases (phase 1). Subse- cal teacher is to foster the quently, they diagnosed 8 different cases through nonanalytical reasoning, 4 of which quality of students’ and resi- had findings similar

Journal

JAMAAmerican Medical Association

Published: Sep 15, 2010

References