المؤلفون: Calder, Lisa A, Forster, Alan J, Stiell, Ian G, Carr, Laura K, Brehaut, Jamie C, Perry, Jeffrey J, Vaillancourt, Christian, Croskerry, Patrick

مصطلحات موضوعية: Original article

الوصف: Background Dual-process psychological theories argue that clinical decision making is achieved through a combination of experiential (fast and intuitive) and rational (slower and systematic) cognitive processes. Objective To determine whether emergency physicians perceived their clinical decisions in general to be more experiential or rational and how this compared with other physicians. Methods A validated psychometric tool, the Rational Experiential Inventory (REI-40), was sent through postal mail to all emergency physicians registered with the College of Physicians and Surgeons of Ontario, according to their website in November 2009. Forty statements were ranked on a Likert scale from 1 (Definitely False) to 5 (Definitely True). An initial survey was sent out, followed by reminder cards and a second survey to non-respondents. Analysis included descriptive statistics, Student t tests, analysis of variance and comparison of mean scores with those of cardiologists from New Zealand. Results The response rate in this study was 46.9% (434/925). The respondents' median age was 41–50 years; they were mostly men (72.6%) and most had more than 10 years of clinical experience (66.8%). The mean REI-40 rational scores were higher than the experiential scores (3.93/5 (SD 0.35) vs 3.33/5 (SD 0.49), p<0.0001), similar to the mean scores of cardiologists from New Zealand (mean rational 3.93/5, mean experiential 3.05/5). The mean experiential scores were significantly higher for female respondents than for male respondents (3.40/5 (SD 0.49) vs 3.30/5 (SD 0.48), p=0.003). Conclusions Overall, emergency physicians favoured rational decision making rather than experiential decision making; however, female emergency physicians had higher experiential scores than male emergency physicians. This has important implications for future knowledge translation and decision support efforts among emergency physicians.

وصف الملف: text/html

العلاقة: http://emj.bmj.com/cgi/content/short/29/10/811Test; http://dx.doi.org/10.1136/emermed-2011-200468Test

الإتاحة: https://doi.org/10.1136/emermed-2011-200468Test
http://emj.bmj.com/cgi/content/short/29/10/811Test

المؤلفون: Calder, Lisa A, Forster, Alan J, Stiell, Ian G, Carr, Laura K, Brehaut, Jamie C, Perry, Jeffrey J, Vaillancourt, Christian, Croskerry, Patrick

مصطلحات موضوعية: Original article

الوصف: Background Dual-process psychological theories argue that clinical decision making is achieved through a combination of experiential (fast and intuitive) and rational (slower and systematic) cognitive processes. Objective To determine whether emergency physicians perceived their clinical decisions in general to be more experiential or rational and how this compared with other physicians. Methods A validated psychometric tool, the Rational Experiential Inventory (REI-40), was sent through postal mail to all emergency physicians registered with the College of Physicians and Surgeons of Ontario, according to their website in November 2009. Forty statements were ranked on a Likert scale from 1 (Definitely False) to 5 (Definitely True). An initial survey was sent out, followed by reminder cards and a second survey to non-respondents. Analysis included descriptive statistics, Student t tests, analysis of variance and comparison of mean scores with those of cardiologists from New Zealand. Results The response rate in this study was 46.9% (434/925). The respondents' median age was 41–50 years; they were mostly men (72.6%) and most had more than 10 years of clinical experience (66.8%). The mean REI-40 rational scores were higher than the experiential scores (3.93/5 (SD 0.35) vs 3.33/5 (SD 0.49), p<0.0001), similar to the mean scores of cardiologists from New Zealand (mean rational 3.93/5, mean experiential 3.05/5). The mean experiential scores were significantly higher for female respondents than for male respondents (3.40/5 (SD 0.49) vs 3.30/5 (SD 0.48), p=0.003). Conclusions Overall, emergency physicians favoured rational decision making rather than experiential decision making; however, female emergency physicians had higher experiential scores than male emergency physicians. This has important implications for future knowledge translation and decision support efforts among emergency physicians.

وصف الملف: text/html

العلاقة: http://emj.bmj.com/cgi/content/short/emermed-2011-200468v1Test; http://dx.doi.org/10.1136/emermed-2011-200468Test

الإتاحة: https://doi.org/10.1136/emermed-2011-200468Test
http://emj.bmj.com/cgi/content/short/emermed-2011-200468v1Test

المؤلفون: Luten, Robert, Wears, Robert L., Broselow, James, Croskerry, Patrick, Joseph, Madeline Matar, Frush, Karen

المصدر: Academic Emergency Medicine ; volume 9, issue 8, page 840-847 ; ISSN 1069-6563 1553-2712

الإتاحة: https://doi.org/10.1111/j.1553-2712.2002.tb02175.xTest

المؤلفون: Croskerry, Patrick

المصدر: Annals of Emergency Medicine ; volume 48, issue 6, page 720-722 ; ISSN 0196-0644

مصطلحات موضوعية: Emergency Medicine

الإتاحة: https://doi.org/10.1016/j.annemergmed.2006.03.030Test
https://api.elsevier.com/content/article/PII:S0196064406004902?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0196064406004902?httpAccept=text/plainTest

المؤلفون: Calder, Lisa A., Forster, Alan J., Stiell, Ian G., Carr, Laura K., Brehaut, Jamie C., Perry, Jeffrey J., Vaillancourt, Christian, Croskerry, Patrick

المصدر: Emergency Medicine Journal (EMJ); Oct2012, Vol. 29 Issue 10, p811-816, 6p, 1 Diagram, 3 Charts, 1 Graph

مستخلص: Background Dual-process psychological theories argue that clinical decision making is achieved through a combination of experiential (fast and intuitive) and rational (slower and systematic) cognitive processes. Objective To determine whether emergency physicians perceived their clinical decisions in general to be more experiential or rational and how this compared with other physicians. Methods A validated psychometric tool, the Rational Experiential Inventory (REI-40), was sent through postal mail to all emergency physicians registered with the College of Physicians and Surgeons of Ontario, according to their website in November 2009. Forty statements were ranked on a Likert scale from 1 (Definitely False) to 5 (Definitely True). An initial survey was sent out, followed by reminder cards and a second survey to nonrespondents. Analysis included descriptive statistics, Student t tests, analysis of variance and comparison of mean scores with those of cardiologists from New Zealand. Results The response rate in this study was 46.9% (434/ 925). The respondents' median age was 41-50 years; they were mostly men (72.6%) and most had more than 10 years of clinical experience (66.8%). The mean REI-40 rational scores were higher than the experiential scores (3.93/5 (SD 0.35) vs 3.33/5 (SD 0.49), p<0.0001), similar to the mean scores of cardiologists from New Zealand (mean rational 3.93/5, mean experiential 3.05/5). The mean experiential scores were significantly higher for female respondents than for male respondents (3.40/5 (SD 0.49) vs 3.30/5 (SD 0.48), p=0.003). Conclusions Overall, emergency physicians favoured rational decision making rather than experiential decision making; however, female emergency physicians had higher experiential scores than male emergency physicians. This has important implications for future knowledge translation and decision support efforts among emergency physician [ABSTRACT FROM AUTHOR]

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المؤلفون: Campbell, Samuel G., Croskerry, Patrick G.

المصدر: Canadian Journal of Rural Medicine (Joule Inc.). Winter2003, Vol. 8 Issue 1, p33. 5p.

مصطلحات موضوعية: *MEDICAL errors, *RURAL medicine

مستخلص: Provides an overview of what is known about medical error in rural practice. Strategies of the rural medical community; Issues particular to rural medicine; Nature and extent of error in rural practice; Workshop suggestions for the positive management of error.

المؤلفون: Leon, Michael, Croskerry, Patrick G., Smith, Grant K.

المصدر: Physiology & Behavior ; volume 21, issue 5, page 793-811 ; ISSN 0031-9384

مصطلحات موضوعية: Behavioral Neuroscience, Experimental and Cognitive Psychology

الإتاحة: https://doi.org/10.1016/0031-9384Test(78)90021-5
https://api.elsevier.com/content/article/PII:0031938478900215?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:0031938478900215?httpAccept=text/plainTest