Echocardiographers are highly specialised, skilled practitioners who play a critical role in medical imaging diagnostics. Yet, little is known about the cognitive and perceptual attributes of experts within this domain. This study was designed to examine the role of individual differences in expertise. Specifically, the contribution of a domain general visual expertise and pattern recognition, or cue utilization. Data were collected from 42 echocardiographers and 43 naïve participants. All of the participants competed the Novel Object Memory Test (NOMT). When compared, the echocardiographers were more accurate than the naïve participants. The echocardiographers also completed an echocardiography edition of the Expert Intensive Skills Evaluation 2.0, to establish behavioral indicators of context-related cue utilization. Those with relatively higher cue utilization performed more accurately on the NOMT, controlling for exposure. These results suggest that a general perceptual ability contributes to echocardiography potential and a sensitivity to cue-based learning may contribute to expertise.
Background: Experts in medical image perception are able to detect abnormalities rapidly from medical images. This ability is likely due to enhanced pattern recognition on a global scale. However, the bulk of research in this domain has focused on static rather than dynamic images, so it remains unclear what level of information that can be extracted from these displays. This study was designed to examine the visual capabilities of echocardiographers-practitioners who provide information regarding cardiac integrity and functionality. In three experiments, echocardiographers and naïve participants completed an abnormality detection task that comprised movies presented on a range of durations, where half were abnormal. This was followed by an abnormality categorization task. Results: Across all durations, the results showed that performance was high for detection, but less so for categorization, indicating that categorization was a more challenging task. Not surprisingly, echocardiographers outperformed naïve participants. Conclusions: Together, this suggests that echocardiographers have a finely tuned capability for cardiac dysfunction, and a great deal of visual information can be extracted during a global assessment, within a brief glance. No relationship was evident between experience and performance which suggests that other factors such as individual differences need to be considered for future studies.
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