Tuesday, August 23, 2011

23 August - M&m follow up - Critical Thinking

As discussed, this is the book by Groopman titled "How Doctors Think."  There are a couple books with similar/same titles, but this is the one I was talking about.  I will have some curriculum based on this book for Dr Norwood's PGY 1 and 2  courses this year.

Also, this past post from one of my favorite blogs walks through many of the cognitive traps we can fall victim to.  I especially like this gem from his post:

"Ulysses syndrome

Ulysses went from one adventure to another in the odyssey of returning home from the Trojan War. A false positive test can lead to a fruitless odyssey of further investigation: tests lead to more tests, maybe even invasive procedures and harm to the patient. Eventually it is realized that the patient has been healthy all along."

Confirms my adage that imaging begets imaging, tests begets tests, and false positives beget operations.


For additional reading material, this site from Harvard has an extensive bibliography on the topic.  You can not download articles from the site, but paste the titles in google search and you can access most full text articles through the Preston library or on campus.


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