Hypothesis: Age and experience are markers (very imperfect) for
--expertise (how well stocked and well practiced System 1 is and how well disciplined and rested System 2 is) and
--agility in moving between System 1 and System 2 as the (highly variable) interactions between the clinical situation and one's expertise dictate.
Kahneman. Thinking Fast and Slow.
Jim
James M. Walker, MD, FACP
Chief Medical Information Officer
Geisinger Health System
The best way to predict the future is to invent it.
- Alan Kay
>>> Rod Jackson <[log in to unmask]> 6/21/2012 11:02 PM >>>
One of the best descriptions of this topic was written by Brian Haynes and colleagues - see: 'Clinical expertise in the era of evidence-based medicine and patient choice' EBM 2002;7:36-38 (March/April)
regards
Rod Jackson
Professor of Epidemiology
Section of Epidemiology and Biostatistics
School of Population Health, Tamaki Campus
Faculty of Medical & Health Sciences, University of Auckland
Private Bag 92019
Auckland, New Zealand
From: Rakesh Biswas <[log in to unmask]<mailto:[log in to unmask]>>
Reply-To: Rakesh Biswas <[log in to unmask]<mailto:[log in to unmask]>>
Date: Thursday, 21 June 2012 9:10 PM
To: "[log in to unmask]<mailto:[log in to unmask]>" <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Re: Clinical Expertise & Experience
Would this paper be useful too: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1314297/pdf/12014539.pdf
best
rakesh
On Wed, Jun 20, 2012 at 11:17 PM, Amy Price <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Dear Anoop,
It means all of what you present and is finding the best treatment for
your patient in the least amount of time. On of the areas of concern is
how we used decision making type 1 fast intuition/pattern recognition
and decision 2 slower which is explore the evidence. There are mixed
results on studies re old/young doctors and the ways they were measured
vary so it is hard to come to a conclusion.
There is an excellent video on this that Dr Ash Paul shared and one paper
showing more experienced doctors does not equate with superior care. It is
not on this computer so maybe someone will post these again
Amy
On 6/20/12 8:22 AM, "Anoop Balachandran" <[log in to unmask]<mailto:[log in to unmask]>> wrote:
>Hi everyone,
>
>I know clinical experience and expert opinion is big part of an evidence
>based approach. Does it mean looking at the evidence, the patient
>circumstances, the risk involved, alternatives and such?
>
>I am confused when does or how well does the experience or intuition
>comes in play here? I feel all the experience and intuition can get us
>more wrong than right. Is there a difference in EBM practiced by an
>experienced doctor compared to a young doctor? If so how?
>
>Can anyone give some examples for these please?
>
>Thank you so much
>Anoop
>
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