Published results of cognitive bias training or similar efforts

Papa, Frank Frank.Papa at UNTHSC.EDU
Fri Dec 12 15:58:23 UTC 2014


Regarding Dr. Smith’s request for published results on the effectiveness of cognitive de-biasing training among medical trainees, a very well done manuscript regarding the role of metacognition and cognitive biases was published in the first issue of Diagnosis. Figure and ground in physician misdiagnosis: metacognition and diagnostic norms. Robert M. Hamm<mailto:Robert-Hamm at ouhsc.edu.>. Diagnosis. Volume 1, Issue 1, Pages 29–33, ISSN (Online) 2194-802X, ISSN (Print) 2194-8011,DOI: 10.1515/dx-2013-0019<http://dx.doi.org/10.1515/dx-2013-0019>, January 2014.
In the manuscript, Dr. Hamm states that: ‘metacognition or self-reflection informed by the “heuristics and biases” theory of how experts make cognitive errors, has been offered as a partial solution for diagnostic errors in medicine. However, it is more work than conventionally recognized, and less effective than initially hoped.’

Frank J Papa, DO, PhD
Professor, Medical Education and Emergency Medicine
Director, TCOM Academy of Medical Educators
Associate Dean, Curricular Design and Faculty Development
University of North Texas Health Science Center

From: Brent Smith [mailto:smithb at SMITHNET.US]
Sent: Friday, December 12, 2014 6:16 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Published results of cognitive bias training or similar efforts

Hello -

I sent this out a few days ago but I think I messed up by thread jacking instead of starting my own message.  Here it is again.


Are any members of this list aware of published results on the effectiveness of cognitive de-biasing training among medical trainees?  I'm aware of James Reily's curriculum paper and an effort by Sherbino pasted below.  I've searched for similar papers but haven't found any.  I'm looking specifically for results of educational interventions among medical traininees aimed at raising awareness of and reducing the effect of cognitive biases as they relate to misdiagnosis.

thanks =)

brent smith


6.


Reilly JB, Ogdie AR, Von Feldt JM. Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents. BMJ Qual Saf. Aug 2013;22(12):1044-1050.


7.


Sherbino J, Kulasegaram K, Howey E. Ineffectiveness of cognitive forcing strategies to reduce biases in diagnostic reasoning: a controlled trial. CJEM. 2014;16(1):34-40.


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