Lecture 4: Recognizing when you are about to make a cognitive error
Goal: Recognize when you are about to make a cognitive error
Objectives
- Explain the concept of metacognition as it applies to cognitive errors
- Discuss how the ability to recognize when data are not fitting together can prevent diagnostic errors
- Describe a case when a failure in type 1 thinking contributed to a diagnostic error
Recommended reading
Lecture 4 Pretest
Type 1 thinking can be described as:
- Reflexive
- Deductive
- Analytical
- Rule-based
Metacognition describes an individual’s ability to:
- Step back from his or her own thinking, observe it, and recognize opportunities for using thinking strategies
- Seek out a more thorough clinical history from the electronic medical record or directly from the ordering provider
- Reference sources of information beyond one’s personal experience, including relevant peer-reviewed publications
- Be mindful of known combinations of injuries
Which of the following is an example of metacognition?
- Using heuristics to make decisions when there is uncertainty
- Employing pattern recognition to make a diagnosis
- Tendency to be influenced by how a problem is presented
- Recognizing instances when data are not fitting together
Which of the following is a feature of metacognition?
- Execution of an automatized motor skill
- Capacity for self-critique
- Employing pattern recognition
- Overconfidence in judgment
Which of the following is the first step in developing a cognitive forcing strategy?
- Gaining knowledge of particular cognitive errors
- Identification of scenarios in which cognitive errors are likely to occur
- Understanding the features of various cognitive forcing strategies
- Initial training in the theory of metacognition
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