Affordable Access

deepdyve-link
Publisher Website

How and when do expert emergency physicians generate and evaluate diagnostic hypotheses? A qualitative study using head-mounted video cued-recall interviews.

Authors
  • Pelaccia, Thierry1
  • Tardif, Jacques2
  • Triby, Emmanuel3
  • Ammirati, Christine4
  • Bertrand, Catherine5
  • Dory, Valérie6
  • Charlin, Bernard7
  • 1 Centre for Training and Research in Health Sciences Education (CFR-PS), Department of Medical Education, Faculty of Medicine, University of Strasbourg, Strasbourg, France; Prehospital Emergency Care Service (SAMU 67)-Centre for Emergency Care Teaching (CESU 67), Strasbourg University Hospital, Strasbourg, France. Electronic address: [email protected] , (France)
  • 2 Department of Pedagogy, Faculty of Education, University of Sherbrooke, Sherbrooke, Québec, Canada. , (Canada)
  • 3 Faculty of Educational Sciences, University of Strasbourg, Strasbourg, France. , (France)
  • 4 Department of Emergency Medicine, Amiens University Hospital, Amiens, France. , (France)
  • 5 Prehospital Emergency Care Service (SAMU 94), Henri-Mondor Hospital, Public Hospitals of Paris, Créteil, France. , (France)
  • 6 Institute of Health and Society (IRSS), Catholic University of Louvain, Brussels, Belgium. , (Belgium)
  • 7 Centre of Pedagogy applied to Health Sciences (CPASS), Faculty of Medicine, University of Montreal, Montréal QC H3T 1J4, Québec, Canada. , (Canada)
Type
Published Article
Journal
Annals of emergency medicine
Publication Date
December 2014
Volume
64
Issue
6
Pages
575–585
Identifiers
DOI: 10.1016/j.annemergmed.2014.05.003
PMID: 24882662
Source
Medline
License
Unknown

Abstract

The generation and rank ordering of diagnostic hypotheses is based on the activation of cognitive processes, enabling expert emergency physicians to process environmental information and link it to past experiences. The physicians seemed to strive to avoid the risk of error by remaining aware of the possibility of alternative hypotheses as long as they did not have the results of investigations. Understanding the diagnostic process used by emergency physicians provides interesting ideas for training residents in a specialty in which the prevalence of reasoning errors leading to incorrect diagnoses is high.

Report this publication

Statistics

Seen <100 times