The Perceived Ability of Gastroenterologists, Hepatologists and Surgeons Can Bias Medical Decision Making.
Dunning–Kruger
hepatology
medical decision making
medical error
surgery
survey
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
07 02 2020
07 02 2020
Historique:
received:
17
12
2019
revised:
20
01
2020
accepted:
05
02
2020
entrez:
13
2
2020
pubmed:
13
2
2020
medline:
4
9
2020
Statut:
epublish
Résumé
Medical errors are a troubling issue and physicians should be careful to scrutinize their own decisions, remaining open to the possibility that they may be wrong. Even so, doctors may still be overconfident. A survey was here conducted to test how medical experience and self-confidence can affect physicians working in the specific clinical area. Potential participants were contacted through personalized emails and invited to contribute to the survey. The "risk-intelligence" test consists of 50 statements about general knowledge in which participants were asked to indicate how likely they thought that each statement was true or false. The risk-intelligence quotient (RQ), a measure of self-confidence, varies between 0 and 100. The higher the RQ score, the better the confidence in personal knowledge. To allow for a representation of 1000 physicians, the sample size was calculated as 278 respondents. A total of 1334 individual emails were sent to reach 278 respondents. A control group of 198 medical students were also invited, of them, 54 responded to the survey. The mean RQ (SD)of physicians was 61.1 (11.4) and that of students was 52.6 (9.9). Assuming age as indicator of knowledge, it was observed that physicians ≤34 years had a mean RQ of 59.1 (10.1); those of 35-42 years had 61.0 (11.0); in those of 43-51 years increased to 62.9 (12.2); reached a plateau of 63.0 (11.5) between 52-59 years and decreased to 59.6 (12.1) in respondents ≥60 years (r
Identifiants
pubmed: 32046089
pii: ijerph17031058
doi: 10.3390/ijerph17031058
pmc: PMC7037552
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Références
BMJ. 2016 May 03;353:i2139
pubmed: 27143499
Psychol Sci Public Interest. 2004 Dec;5(3):69-106
pubmed: 26158995
N Engl J Med. 2017 Dec 14;377(24):2392-2397
pubmed: 29236644
Clin Res Hepatol Gastroenterol. 2019 Oct;43(5):e76-e78
pubmed: 30528062
Surg Gynecol Obstet. 1989 Dec;169(6):519-26
pubmed: 2814768
Med Hypotheses. 1999 Sep;53(3):253-9
pubmed: 10580533
J Pers Soc Psychol. 1999 Dec;77(6):1121-34
pubmed: 10626367
Adv Health Sci Educ Theory Pract. 2009 Sep;14 Suppl 1:71-81
pubmed: 19669913
Adv Health Sci Educ Theory Pract. 2015 May;20(2):431-40
pubmed: 25103688
J Exp Psychol Hum Percept Perform. 1981 Aug;7(4):928-35
pubmed: 6457103
Med Educ. 2013 Jun;47(6):578-84
pubmed: 23662875
Hepatology. 2015 Mar;61(3):905-14
pubmed: 25048515
J Adolesc Health. 2001 May;28(5):415-20
pubmed: 11336872
BMJ. 1997 Nov 29;315(7120):1426-8
pubmed: 9418092
Dev Psychol. 2009 Mar;45(2):431-46
pubmed: 19271829
Psychol Bull. 1990 Nov;108(3):480-98
pubmed: 2270237