Cognitive Bias and Decision Making

Author: Dr. Dave Hill

Thinking about a recent M&M case and the roles that bias plays in how patient care is delivered, I don’t think I could say it better than the Drs. at EM Ottawa (emottawablog.com).

“Clinical decision making is an extremely complex process, and healthcare professionals often develop adaptive mechanisms [heuristics or biases] as we are faced with repeated similar experiences in a busy clinical environment.”

Presenting in the ER

“…no matter how much compassion and warmth I may have with my patients, my superiors grade me more on how polished I am, how well crafted my presentation is.”

– Fourth-year medical student

As unfair as it may be, your clinical grade in most of your rotations will be based on how well you present your patients. It’s very unlikely that we watch you do your physical exam or observe your interaction with the patient. It all comes down to that short performance. So why not be great at that game?

What do residency directors look for in their applicants?

Hello prospective Emergency Physicians. Dr. Casey and I have created this note to help maneuver through some of the documents that the NRMP (National Residency Matching Program) put out, specifically in regards to matching in Emergency Medicine. Our hope is that this can answer some of your questions before we meet, so we can spend our time together answering questions pertinent to your specific situation. In this first post, we’ll look at the Results of the NRMP Program Directors Survey 2012.