Teaching metacognition in clinical decision-making using a novel mnemonic checklist: an exploratory study

Singapore Medical Journal
Keng Sheng ChewJeroen Jg van Merriënboer

Abstract

Metacognition is a cognitive debiasing strategy that clinicians can use to deliberately detach themselves from the immediate context of a clinical decision, which allows them to reflect upon the thinking process. However, cognitive debiasing strategies are often most needed when the clinician cannot afford the time to use them. A mnemonic checklist known as TWED (T = threat, W = what else, E = evidence and D = dispositional factors) was recently created to facilitate metacognition. This study explores the hypothesis that the TWED checklist improves the ability of medical students to make better clinical decisions. Two groups of final-year medical students from Universiti Sains Malaysia, Malaysia, were recruited to participate in this quasi-experimental study. The intervention group (n = 21) received educational intervention that introduced the TWED checklist, while the control group (n = 19) received a tutorial on basic electrocardiography. Post-intervention, both groups received a similar assessment on clinical decision-making based on five case scenarios. The mean score of the intervention group was significantly higher than that of the control group (18.50 ± 4.45 marks vs. 12.50 ± 2.84 marks, p < 0.001). In three of the five...Continue Reading

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Citations

Jun 27, 2017·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Ramona Ludolph, Peter J Schulz
Jun 18, 2019·Medical Teacher·Pin-Hsiang HuangBoaz Shulruf
Mar 18, 2020·Medical Education Online·F Stuart LeedsTimothy N Crawford
Jun 24, 2017·Singapore Medical Journal·Keng Sheng ChewJeroen Jg van Merriënboer
Jan 10, 2019·BMC Medical Education·Eoin D O'Sullivan, Susie J Schofield
Nov 19, 2020·The Western Journal of Emergency Medicine·Sarah HartiganRobin R Hemphill
Nov 19, 2020·Medical Teacher·Nicola CooperUNKNOWN UK Clinical Reasoning in Medical Education (CReME) consensus statement group
May 16, 2020·Journal of Veterinary Medical Education·Stephen D ColeShelley C Rankin
Jul 14, 2021·Advances in Health Sciences Education : Theory and Practice·Ching-Yi LeeLynn Monrouxe
Aug 11, 2020·Journal of the American Association of Nurse Practitioners·Patricia B GriffithBette Mariani

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