Can intuition be taught? YES

Amy Reinert amy.reinert at GMAIL.COM
Mon Aug 19 15:37:45 UTC 2013


A p.s. to my previous post:  Peggy mentioned Gavin DeBecker's The Gift of
Fear as a good book about intuition. I heartily agree with her
recommendation. DeBecker is a former secret service agent with decades of
experience in law enforcement. He notes that intuition is the most
important skill for successful investigation of crimes.

Another very good book that includes intuition as informing ways of
knowing, as well genius, is the Root-Bernsteins' Sparks of Genius.

--Amy

Amy Ruzicka, Ph.D.


On Sun, Aug 18, 2013 at 7:25 PM, Alan Morris <Alan.Morris at imail.org> wrote:

> 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>
> Reply-To: Society to Improve Diagnosis in Medicine <
> IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Sandra Tice <sandra.tice at MIPCORP.COM
> >
> Date: Sunday, August 18, 2013 3:30 PM
> To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG" <
> 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****
>
> ** **
>
> *From:* Lorri Zipperer [mailto:Lorri at ZPM1.COM <Lorri at ZPM1.COM>]
> *Sent:* Friday, August 16, 2013 2:06 PM
> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> *Subject:* [IMPROVEDX] Can intuition be taught?****
>
> ** **
>
> Forwarded by the moderator****
>
> ** **
>
> *From:* Peggy Zuckerman [mailto:peggyzuckerman at gmail.com<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> 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****
>
> ** **
>
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> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society
> for Improving Diagnosis in Medicine
>
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> Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013 in
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> Moderator: Lorri Zipperer 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.
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