Preparing medical students for clinical decision making: A pilot study exploring how students make decisions and the perceived impact of a clinical decision making teaching intervention

Medical Teacher

Volumn 34, Issue 7, 2012, Pages

  McGregor, Calum A ^a,b   Paton, Catherine ^a   Thomson, Calum ^a   Chandratilake, Madawa ^a,b   Scott, Hazel ^a  

^a NHS LANARKSHIRE   (United Kingdom)

^b UNIVERSITY OF DUNDEE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; DECISION MAKING; DIFFERENTIAL DIAGNOSIS; HUMAN; INTERVIEW; MEDICAL EDUCATION; MEDICAL STUDENT; METHODOLOGY; OBSERVATION; PILOT STUDY; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; RANDOMIZATION; SELF CONCEPT; STANDARD;

CLINICAL COMPETENCE; DECISION MAKING; DIAGNOSIS, DIFFERENTIAL; EDUCATION, MEDICAL, UNDERGRADUATE; HUMANS; INTERVIEWS AS TOPIC; OBSERVATION; PILOT PROJECTS; QUALITATIVE RESEARCH; RANDOM ALLOCATION; SELF EFFICACY; STUDENTS, MEDICAL;

EID: 84863468702     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.3109/0142159X.2012.670323     Document Type: Conference Paper

References (29)

1. Berner ES, Graber ML. 2008. Overconfidence as a cause of diagnostic error in medicine. Am J Med 121(5S):2-23.
2. Bourne LE, Yaroush RA. 2003. Stress and cognition: A cognitive psychological perspective. Washington, DC: National Aeronautics and Space Administration [Published 2010 April 19]. Available from: http://humansystems. arc.nasa.gov/eas/download/non-EAS/Stress-and- Cognition.pdf
3. Cave J, Woolf K, Jones A, Dacre J. 2009. Easing the transition from student to doctor: How can medical schools help prepare their graduates for starting work? Med Teach 31(5):403-408.
4. Croskerry P. 2003. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med 78:77-78.
5. Croskerry P. 2005. Diagnostic failure: A cognitive and affective approach. In: Henriksen K, Battles JB, Marks ES, Lewin DI, editors. Advances in patient safety: From research to implementation. Rockville, MD: Agency for Health Care Research and Quality. Ch. 5: 252.
6. Croskerry P. 2009. Clinical cognition and diagnostic error: Applications of a dual process model of reasoning. Adv Health Sci Educ 14(1):27-35.
7. Dent JA, Harden RM. 2009. A practical guide for medical teachers. 3rd ed. Edinburgh: Elsevier Health Sciences.
8. Elstein AS, Schwarz A. 2002. Clinical problem-solving and diagnostic decision-making: A selective review of the cognitive literature. BMJ 324:729-732. (Pubitemid 34259153)
9. Eva KW. 2005. What every teacher needs to know about clinical reasoning. Med Educ 39:98-106.
10. Eva KW. 2009. Diagnostic error in medical education: Where wrongs can make rights. Adv Health Sci Educ 14:71-81.
11. Eva KW, Hatala RM, LeBlanc VR, Brooks LR. 2007. Teaching from the clinical reasoning literature: Combined reasoning strategies help novice diagnosticians overcome misleading information. Med Educ 41(12):1152-1158. (Pubitemid 350197073)
12. Featherstone DE. 2005. Interview with Frances A. Griffen, Institute for Healthcare Improvement. Interview by Diane E. Featherston. J Nurs Care Qual 20(4):369-372.
13. GMC. 2009. Tomorrow's doctors: Outcomes and standards for undergraduate medical education. London: General Medical Council.
14. Graber ML. 2005. Diagnostic error in internal medicine. Arch Intern Med 165:1493-1499. (Pubitemid 41058029)
15. Illing J, Morrow G, Kergon C, Burford B, Spencer J, Peile E, Davies C, Baldouf B, Allen M, Johnson N, et al. 2008. How prepared are medical graduates to begin practice? A comparison of three diverse UK medical schools. Final Report for the GMC Education Committee. General Medical Council/Northern Deanery.
16. Jevon P. 2010. Assessment of critically ill patients: The ABCDE approach. Br J Healthcare Assist 4(8):404-407.
17. Jones A, Willis SC, McArdle PJ, O'Neill PA. 2006. Learning the house officer role: Reflections on the value of shadowing a PRHO. Med Teach 28(3):291-293. (Pubitemid 43840701)
18. Lake SE. 2005. Nursing prioritisation of the patient need for care: Tacit knowledge of clinical decision making in nursing. [Published 2010 November 23]. Available from: http://researcharchive.vuw.ac.nz/bitstream/handle/10063/22/ thesis.pdf?sequence=6
19. Lundberg GD. 1998. Low tech autopsies in the era of high tech medicine: Continued value for quality assurance and patient safety. J Am Med Assoc 280:1273-1274. (Pubitemid 28469237)
20. Medical Education England 2010. Survey of shadowing completed by the appointees to the foundation programme, undertaking shadowing at the Royal Free Hospital. London: Medical Education England.
21. Norman G. 2005. Research in clinical reasoning: Past history and current trends. Med Educ 39(4):418-427.
22. Norman G. 2009. Dual processing and diagnostic errors. Adv Health Sci Educ 14:37-39.
23. Norman GR, Eva KW. 2010. Diagnostic error and clinical reasoning. Med Educ 44:94-100.
24. Runciman WB, Kluger MT, Morris RW, Paix AD, Watterson LM, Webb RK. 2005. Crisis management during anaesthesia: The development of an anaesthetic crisis management manual. Qual Saf Health Care 14(3):e1.
25. Stewart J. 2008. To call or not to call: A judgement of risk by pre-registration house officers. Med Educ 42(9):938-944.
26. Sullivan DJ. 2009. How physicians think: The cognitive autopsy. James D Mills Jr. memorial lecture. (Online) [Published 2010 March 14]. Available from: http://www.hornlakeprofessionalbuilding.com/data/papers/WE-207.pdf
27. Tallentire VR, Smith SE, Wylde K, Cameron HS. 2011. Are medical graduates ready to face the challenges of foundation training? Postgrad Med J 87(1031):590-595.
28. Tipping MD, Forth VE, O'Leary KJ, Malkenson DM, Magill DB, Englert K, Williams MV. 2010. Where did they go? A time motion study of hospitalists. J Hosp Med 5(6):323-328.
29. Weigl M, Muller A, Zupanc A, Glaser J, Angerer P. 2011. Hospital doctors' workflow interruptions and activities: An observation study. BMJ Qual Saf 20(6):491-497.