Conceptual knowledge and decision strategies in relation to hypercholesterolemia and coronary heart disease

International Journal of Medical Informatics

Volumn 55, Issue 3, 1999, Pages 159-177

  Kaufman, David R ^a   Kushniruk, André W ^b   Yale, Jean François ^c   Patel, Vimla L ^b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b MCGILL UNIVERSITY   (Canada)

^c ROYAL VICTORIA HOSPITAL   (Canada)

Author keywords

Conceptual knowledge; Decision making; Heuristic strategies; Hypercholesterolemia; Medical education

Indexed keywords

DECISION MAKING; DIAGNOSIS; DISEASES; HEALTH RISKS; MEDICAL EDUCATION; RISK ASSESSMENT;

CONCEPTUAL KNOWLEDGE;

MEDICAL COMPUTING;

ARTICLE; CONTINUING EDUCATION; CORONARY RISK; EVIDENCE BASED MEDICINE; GENERAL PRACTICE; GENERAL PRACTITIONER; HUMAN; HYPERCHOLESTEROLEMIA; HYPOTHYROIDISM; ISCHEMIC HEART DISEASE; MEDICAL DECISION MAKING; MEDICAL EDUCATION; PRIORITY JOURNAL;

EID: 0032705111     PISSN: 13865056     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1386-5056(99)00028-3     Document Type: Article

References (28)

1. Sackett D.L., Haynes B. On the need for evidence-based medicine. Evidence-Based Med. 1(1):1995;5-6.
2. Levine G.N., Keanney J.F., Vita J.A. Cholesterol reduction in cardiovascular disease: clinical benefits and possible mechanisms. N. Engl. J. Med. 332:1995;512-519.
3. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Summary of the second report of the National Cholesterol Education Program (NCEP) [4] NCEP. JAMA 269 (1993) 3015-3023.
4. Stafford R.S., Blumenthal D., Pasternak R.C. Variations in cholesterol management practices of U.S. physicians. J. Am. Coll. Cardiol. 29(1):1997;139-146.
5. Chantellier G., Blinowska A., Menard J., Degoulet P. Do physicians estimate reliably the cardiovascular risk of hypertensive patients? Greenes R.A., Peterson H.E., Protti D.J. Proc. MedInfo. 1995;876-879 North-Holland, New York.
6. Shulman K.A., Escarce J.J., Eisenberg J.M., Hershey M.J., Young M.J., McCarthy D.M. et al. Assessing physician's estimates of the probability of coronary artery disease: the influence of patient characteristics. Med. Decis. Making. 12(2):1992;109-114.
7. Patel V.L., Kaufman D.R. Medical informatics and the science of cognition. J. Am. Med. Inform. Assoc. 5(6):1998;493-502.
8. Patel V.L., Arocha J. F., Kaufman D.R. Diagnostic reasoning and expertise. Psych. Learn. Motiv. 31:1994;137-252.
9. Cohen B.J. Is expected utility theory normative theory for medical decision making? Med. Decis. Making. 16(1):1996;1-6.
10. Plasencia C.M., Alderman B.W., Barón A.E., Rolfs R.T., Boyko E.J. A method to describe physician decision thresholds and its application in examining the diagnosis of coronary artery disease based on exercise treadmill testing. Med. Decis. Making. 12(3):1992;204-212.
11. Poses R.M., Cebul C.D., Wigton R.S. You can lead a horse to water: improving physician's knowledge of probabilities may not affect their decisions. Med. Decis. Making. 15(1):1995;65-75.
12. Patel V.L., Kaufman D.R., Magder S.A. The acquisition of medical expertise in complex dynamic environments. Ericsson A. The Road to Excellence: The Acquisition of Expert Performance in the Arts and Sciences, Sports and Games. 1996;127-165 Lawrence Erlbaum Publishers, Hillsdale, NJ.
13. Kushniruk A.W., Patel V.L. Cognitive evaluation of decision making processes and assessment of information technology in medicine. Int. J. Med. Inform. 51:1998;83-90.
14. Leprohon J., Patel V.L. Decision making strategies for telephone triage in emergency medical services. Med. Decis. Making. 15:1995;240-253.
15. Elstein A.S., Holzman G.B., Belzer L.J., Ellis R.D. Hormonal replacement therapy: analysis of clinical strategies used by residents. Med. Decis. Making. 12:1992;265-273.
16. Chinn C.A., Brewer W.F. The role of anomalous data in knowledge acquisition: a theoretical framework and implications for science instruction. Rev. Educ. Res. 63(1):1993;1-49.
17. Kushniruk A.W., Kaufman D.R., Patel V.L., Levesque Y., Lottin P. Assessment of a computerized patient record system: a cognitive approach to evaluating medical technology. MD. Comput. 13(5):1996;406-415.
18. D.R. Kaufman, V.L. Patel, J.F. Yale, R. Bouchard, A.W. Kushniruk, Physicians' knowledge and practices in diagnosing and treating hypercholesterolemia and the effects of a CD-I program on learning and behavioral change, Technical Report (CME 2-94), Centre for Medical Education, 1994.
19. J.F. Yale, D. Pacaud, C. Lajoie, Clinical Challenges: Initial Treatment of Type 2 diabetes. CD-MED-Lambert Multimedia Inc., Montreal 1994.
20. Patel V.L., Evans D.A., Kaufman D.R. Cognitive framework for doctor-patient interaction. Evans D.A., Patel V.L Cognitive Science in Medicine: Biomedical Modeling. 1989;253-308 MIT Press, Cambridge, MA.
21. Kaufman D.R., Patel V.L. Problem solving in the clinical interview: a cognitive analysis of the performance of physicians, residents, and students. Teaching and Learning in Medicine: An International Journal. 3:1991;6-14.
22. Joseph G.M., Patel V.L. Domain knowledge and hypothesis generation in diagnostic reasoning. Med. Decis. Making. 10:1990;31-46.
23. Hassebrock F., Prietula M.J. A protocol-based coding scheme for the analysis of medical reasoning. Int. J. Man-Machine Stud. 37:1992;613-652.
24. Genest J. Physician's Guide to the Management of Lipoprotein Disorders. 1990;STA Communications, Montreal.
25. Tversky A., Kahneman D. Judgment under uncertainty: heuristics and biases. Science. 185:1974;1124-1131.
26. Woolf S.H. Practice guidelines: a new reality in medicine III: impact on patient care. Arch. Intern. Med. 153:1993;2646-2655.
27. Elstein A.S., Dod J., Holzman G.B. Estrogen replacement decisions of third year residents: clinical intuition and decision analysis. Evans D.A., Patel V.L Cognitive Science in Medicine: Biomedical Modeling. 1989;21-51 MIT Press, Cambridge, MA.
28. McDonald C.J. Medical heuristics: the silent adjudicators of clinical practice. Ann. Intern. Med. 124:1996;56-62.