Another guest lecture this morning which I will attempt to condense into a more readable account than my last attempt at sharing my notes.
What does it take to be a good doctor?
fundamentals + experience = good doc
1. Information needs to be sorted according to how it is used.
2. Communication may be the most important part of medicine.
3. Art of healing includes empathy and ritual.
4. Judgment is still necessary even with perfect information.
Here's one way to use data.
Generate evidence-->synthesize evidence-->develop clinical protocols-->apply protocols-->re-evaluate
Then have to balance patient's preference, research evidence, clinical circumstances and clinical judgment.
Every decision is founded on goals, objectives, options, people and preferences.
Situational awareness = observe (data/information/task environment), orient (mental model, anticipate potential future states), decide, act.
OODA loop
often includes an awareness of what decision making process is most
Intuitive vs. Analytical decision making
Most choices are intuitive = heuristic
really fast, but susceptible to characteristic mistakes
Others become more analytical =systematic
takes a lot of time
Specific practice to develop clinical judgment
1. know and be aware of common decision making errors
2. routinely inquire into and discuss the reasons and rational for decisions that are being made.
3. Simulate with hypothetical cases
4. Reflect and consolidate recent experiences (hopefully that's what this blog is helping me do)
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