The American Journal of Medicine
Volume 121, Issue 5, Supplement , Pages S34-S37 , May 2008

Sidestepping Superstitious Learning, Ambiguity, and Other Roadblocks: A Feedback Model of Diagnostic Problem Solving

  • Jenny W. Rudolph, PhD

      Affiliations

    • Center for Medical Simulation, Cambridge, Massachusetts, USA, Harvard Medical School, Cambridge, Massachusetts, USA
    • Corresponding Author InformationRequests for reprints should be addressed to Jenny W. Rudolph, PhD, Center for Medical Simulation, 65 Lansdowne Street, Cambridge, Massachusetts 02139.
    • ,
  • J. Bradley Morrison, PhD

      Affiliations

    • Brandeis University International Business School, Waltham, Massachusetts, USA

  • Image Result

    Calibrating or improving diagnostic quality over time. The “B” labeled “long-term calibration” signifies a balancing loop that updates clinicians' diagnostic schema based on information that allows th

    Calibrating or improving diagnostic quality over time. The “B” labeled “long-term calibration” signifies a balancing loop that updates clinicians' diagnostic schema based on information that allows them to compare how they expect the patient to progress with the patient's observed outcomes. Arrows indicate the direction of causality.

  • Image Result
    How confidence impedes calibration.The “R” labeled “self-confirming bias” signifies a reinforcing loop that amplifies clinicians' confidence in their current diagnostic problem-solving skill. Arrows i

    How confidence impedes calibration.

    The “R” labeled “self-confirming bias” signifies a reinforcing loop that amplifies clinicians' confidence in their current diagnostic problem-solving skill. Arrows indicate the direction of causality.

 Statement of Author Disclosure: Please see the Author Disclosures section at the end of this article.

PII: S0002-9343(08)00154-X

doi: 10.1016/j.amjmed.2008.02.003

The American Journal of Medicine
Volume 121, Issue 5, Supplement , Pages S34-S37 , May 2008

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