clinical decision making

Question 1

four main facets of clinical decision making

Answer 1

• Attempting to understand the process
• Strategies(conscious and unconscious)
• Neuropsychology (memory, recall, connections)
• Bias (implicit and explicit)

Question 2

four basic strategies

Answer 2

1. pattern recognition
2. hypothetico-deductive
3. algorithms
4. unfiltered data collection

Question 3

describe hypothetico-deductive

Answer 3

deduction (general to specific)
- hypothesis > observe > confirm

induction (specific to general)
- observe > pattern > hypothesis

Question 4

describe the difference between system thinking 1 and 2

Answer 4

single processing

system 1

• rapid
• unconscious
• retrieval

system 2

• slow
• conscious
• deliberate

Question 5

describe the heuristic analytic approach

Answer 5

• system 1 dominant (rapid, unconscious)
• system 2 monitors and can stem in

errors and bias usually come from system 1

Question 6

describe the exemplar approach

Answer 6

• system 1 first
• no solution?
• system 2 step in
• sequential

Question 7

influences on decision making/bias

Answer 7

• personal (knowledge, experience)
• temporal (tired, hungry)
• affective (mood, relationship, atmosphere)
• evidence
• peers
• patients
• environment
• political/financial/legal