Medical Decision-Making in the Physician Hierarchy: A Pilot Pedagogical Evaluation
| Title: | Medical Decision-Making in the Physician Hierarchy: A Pilot Pedagogical Evaluation |
|---|---|
| Authors: | John Rosasco, Michele L McCarroll, M David Gothard, Jerry Myers, Patrick Hughes, Alan Schwartz, Richard L George, Rami A Ahmed |
| Source: | Journal of Medical Education and Curricular Development, Vol 7 (2020) |
| Publisher Information: | SAGE Publishing, 2020. |
| Publication Year: | 2020 |
| Collection: | LCC:Special aspects of education LCC:Medicine (General) |
| Subject Terms: | Special aspects of education, LC8-6691, Medicine (General), R5-920 |
| More Details: | Purpose: Recently, the American College of Graduate Medical Education included medical decision-making as a core competency in several specialties. To date, the ability to demonstrate and measure a pedagogical evolution of medical judgment in a medical education program has been limited. In this study, we aim to examine differences in medical decision-making of physician groups in distinctly different stages of their postgraduate career. Methods: The study recruited physicians with a wide spectrum of disciplines and levels of experience to take part in 4 medical simulations divided into 2 categories, abdominal pain (biliary colic [BC] and renal colic [RC]) or chest pain (cardiac ischemia with ST-segment elevation myocardial infarction [STEMI] and pneumothorax [PTX]). Evaluation of medical decision-making used the Medical Judgment Metric (MJM). The targeted selection criteria for the physician groups are administrative physicians (APs), representing those with the most experience but whose current duties are largely administrative; resident physicians (RPs), those enrolled in postgraduate medical or surgical training; and mastery level physicians (MPs), those deemed to have mastery level experience. The study measured participant demographics, physiological responses, medical judgment scores, and simulation time to case resolution. Outcome differences were analyzed using Fisher exact tests with post hoc Bonferroni-adjusted z tests and single-factor analysis of variance F tests with post hoc Tukey honestly significant difference, as appropriate. The significance threshold was set at P |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2382-1205 23821205 |
| Relation: | https://doaj.org/toc/2382-1205 |
| DOI: | 10.1177/2382120520925061 |
| Access URL: | https://doaj.org/article/b44742091946400eabd978561d8d9839 |
| Accession Number: | edsdoj.b44742091946400eabd978561d8d9839 |
| Database: | Directory of Open Access Journals |
| ISSN: | 23821205 |
|---|---|
| DOI: | 10.1177/2382120520925061 |
| Published in: | Journal of Medical Education and Curricular Development |
| Language: | English |