Teaching metacognition in clinical decision-making using a novel mnemonic checklist: an exploratory study
Singapore medical journal
;
: 694-700, 2016.
Article
in English
| WPRIM
| ID: wpr-276710
ABSTRACT
<p><b>INTRODUCTION</b>Metacognition is a cognitive debiasing strategy that clinicians can use to deliberately detach themselves from the immediate context of a clinical decision, which allows them to reflect upon the thinking process. However, cognitive debiasing strategies are often most needed when the clinician cannot afford the time to use them. A mnemonic checklist known as TWED (T = threat, W = what else, E = evidence and D = dispositional factors) was recently created to facilitate metacognition. This study explores the hypothesis that the TWED checklist improves the ability of medical students to make better clinical decisions.</p><p><b>METHODS</b>Two groups of final-year medical students from Universiti Sains Malaysia, Malaysia, were recruited to participate in this quasi-experimental study. The intervention group (n = 21) received educational intervention that introduced the TWED checklist, while the control group (n = 19) received a tutorial on basic electrocardiography. Post-intervention, both groups received a similar assessment on clinical decision-making based on five case scenarios.</p><p><b>RESULTS</b>The mean score of the intervention group was significantly higher than that of the control group (18.50 ± 4.45 marks vs. 12.50 ± 2.84 marks, p < 0.001). In three of the five case scenarios, students in the intervention group obtained higher scores than those in the control group.</p><p><b>CONCLUSION</b>The results of this study support the use of the TWED checklist to facilitate metacognition in clinical decision-making.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prejudice
/
Students, Medical
/
Universities
/
Program Evaluation
/
Education, Medical
/
Educational Measurement
/
Checklist
/
Clinical Decision-Making
/
Metacognition
/
Malaysia
Type of study:
Evaluation studies
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
Singapore medical journal
Year:
2016
Type:
Article
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