Can intuition be taught? YES

Alan Morris Alan.Morris at IMAIL.ORG
Sun Aug 18 23:25:47 UTC 2013


Admittedly, we can all learn – and practice/training is valuable .  However, human limitations being what they are, our performance is not likely to reach desired goals, whatever our training.
See the recent paper below to see how little effect academic marketing has on clinician performance:


Gjelstad S, Høye S, Straand J, Brekke M, Dalen I, Lindbæk M. Improving antibiotic prescribing in acute respiratory tract infections: cluster randomised trial from Norwegian general practice (prescription peer academic detailing (Rx-PAD) study). BMJ. 2013 2013-07-26 11:41:54;347


RESULTS:

The baseline prescribing rates were 33.2% (20 094 prescriptions for 60 541 episodes of acute respiratory tract infection) in the intervention arm and 33.4% (21 216/63 548) in the control arm. Post-intervention rates decreased to 31.8% (21 246/66 757) in the intervention arm and increased to 35.0% (23 307/66 501) in the control arm.


The small observed improvement in this and in other studies hardly moves us close to the 95% compliance obtained with adequately explicit decision-support tools.


Have  a nice day.

Alan H. Morris, M.D.
Professor of Medicine
Adjunct Prof. of Medical Informatics
University of Utah

Director of Research
Director Urban Central Region Blood Gas and Pulmonary Laboratories
Pulmonary/Critical Care Division
Sorenson Heart & Lung Center - 6th Floor
Intermountain Medical Center
5121 South Cottonwood Street
Murray, Utah  84157-7000, USA

Office Phone: 801-507-4603
Mobile Phone: 801-718-1283
Fax: 801-507-4699
e-mail: alan.morris at imail.org
e-mail: alanhmorris at gmail.com

From: Sandra Tice <sandra.tice at MIPCORP.COM<mailto:sandra.tice at MIPCORP.COM>>
Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>, Sandra Tice <sandra.tice at MIPCORP.COM<mailto:sandra.tice at MIPCORP.COM>>
Date: Sunday, August 18, 2013 3:30 PM
To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>
Subject: Re: [IMPROVEDX] Can intuition be taught? YES

Research has shown that intuition is not innate -- it is a learned skill, which means that it can be taught to others.  It is automatic thinking that has become a part of a physician’s unconscious mind through years of experience.  Automatic unconscious thinking is often called intuition or wisdom – the expert clinical reasoning that is required to accurately identify and correctly use relevant knowledge, information, data and cues from tacit interactions to consistently make the right judgments and decisions.
Not only can intuition be taught but we have been capturing and documenting it so that it can be read, learned, improved and quickly transferred to others.  This has been tested in medicine by a physician with over 35 years of experience in emergency medicine who transferred his intuition to residents and medical students.  Within several days, they were diagnosing patients as if they had many years of experience.  Their average diagnostic accuracy immediately improved by roughly 20% and the time required to accurately diagnose a patient dropped from over 1 hour to less than 5 minutes.

Sandra Tice
Cognitive Scientist & Managing Partner
Direct Phone: 773-975-6555
MIP Corporation
www.mipcorp.com<http://www.mipcorp.com/>

From: Lorri Zipperer [mailto:Lorri at ZPM1.COM]
Sent: Friday, August 16, 2013 2:06 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: [IMPROVEDX] Can intuition be taught?

Forwarded by the moderator

From: Peggy Zuckerman [mailto:peggyzuckerman at gmail.com]
Sent: Friday, August 16, 2013 12:26 PM
To: Society to Improve Diagnosis in Medicine; John Brush
Subject: Re: [IMPROVEDX] FM: Crowd Wisdom .... lack of dx error in the curriculum
Intuition is just that.  One can learn to respond to one's intuition, usually by practicing doing just that.  Just asking, "Why does that still worry me?  What am I not getting?" etc.  We as a species learned to avoid being eaten by accepting that intuition, which is probably endless amounts of data being processed in the background.
A great book to give a non-medical perspective this is "The Gift of Fear", which reminds us that our fear responses are often overridden by our socialized responses, leaving us vulnerable to danger.  We all have said something to the effect, "I just knew something was wrong, and didn't respond soon enough." This applies to avoiding the odd situation on the street, as well as in the medical setting.
Peggy Zuckerman
On Fri, Aug 16, 2013 at 11:01 AM, John Brush <jebrush at mac.com<mailto:jebrush at mac.com>> wrote:
There are others on this listserv, who are much more qualified than me to answer the question: "Can intuition be taught?"
My two cents: I suspect that intuition is a form of intelligence that is innate, but can be shaped, honed, improved, and recalibrated. Intuition is a talent that can be developed through deliberate practice.
I also think that metacognition can be taught. The goal of education in any domain should be to encourage students to be more thoughtful - to actively and critically think about what they are doing. Students need a vocabulary and some background to get them started, though. I think our goal should be to make this educational process more explicit. What are the core competencies of good medical reasoning, and how can we effectively, reliably, and efficiently teach those competencies?
John

On Aug 16, 2013, at 9:08 AM, Graber, Mark wrote:

Garry's comments raise a very important and fundamental question in our field that someone out there may know the answer to. If not, add it to the growing list of research priorities:

In the traditional paradigm, the expert evolves from years of training and experience, the 'right' education as Garry phrases it.  The expert becomes so because they've made all the errors there are to make, or have seen them.  The opposing view is that we can shortcut this process if we teach principles of metacognition, present all the cognitive biases and their antidotes, and teach error prevention strategies.  Robin Hogarth has a book "Educating Intuition" and Mark Quirk makes many of the same points in his "Intuition and Metacognition in Medical Education."

The question boils down to whether you believe that you really CAN educate intuition, or do you have to acquire it the 'old fashioned' way, through experience.

Mark Graber


________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

To unsubscribe from IMPROVEDX: click the following link:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG>

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX

Moderator: Lorri Zipperer Lorri at ZPM1.com<mailto:Lorri at ZPM1.com>, Communication co-chair, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/

Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013 in Chicago, IL.
http://www.dem2013.org

________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

To unsubscribe from IMPROVEDX: click the following link:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1

or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG>

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX

Moderator: Lorri Zipperer Lorri at ZPM1.com<mailto:Lorri at ZPM1.com>, Communication co-chair, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/

Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013 in Chicago, IL.
http://www.dem2013.org








HTML Version:
URL: <../attachments/20130818/597d59ec/attachment.html>


More information about the Test mailing list