Teaching metacognition in clinical decision-making using a novel mnemonic checklist: an exploratory study
Singapore medical journal
;
: 694-700, 2016.
Artigo
em Inglês
| 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>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Preconceito
/
Estudantes de Medicina
/
Universidades
/
Avaliação de Programas e Projetos de Saúde
/
Educação Médica
/
Avaliação Educacional
/
Lista de Checagem
/
Tomada de Decisão Clínica
/
Metacognição
/
Malásia
Tipo de estudo:
Estudos de avaliação
/
Estudo prognóstico
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Singapore medical journal
Ano de publicação:
2016
Tipo de documento:
Artigo
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