A Novel Approach to Study Medical Decision Making in the Clinical Setting: The “Own‐point‐of‐view” Perspective

Pelaccia, Thierry; Tardif, Jacques; Triby, Emmanuel; Charlin, Bernard

doi:10.1111/acem.13209

Cited by 16 publications

(15 citation statements)

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“…Pioneered in the 1990s (Omodei & McLennan, 1994;Pelaccia et al, 2017), the RVPwSAR offers promising avenues of inquiry into real-time decision-making, attention, and reasoning (Omodei & McLennan, 1994;Pelaccia et al, 2017). Research conducted on work domain analysis showed that the subjective aided recall method "reduces bias in self-report protocols" (Miller, 2004(Miller, , p. 1643 and, in the domain of sport, Mackenzie and Kerr (2012) concluded that despite its own potential biases, this method "[.…”

Section: Retrospective Verbal Protocol With Subjective Aided Recall (...mentioning

confidence: 99%

“…composing, or improvising). This method has shown great potential for the study of real-time decision-making in sport and refereeing (Mackenzie & Kerr, 2012;Omodei & McLennan, 1994;Rix & Biache, 2004;Rix-Lièvre et al, 2013;Sparkes & Smith, 2012;Williams & Ericsson, 2005), clinical and emergency situations (Miller, 2004;Omodei et al, 2005;Pelaccia et al, 2017;Unsworth, 2005), and consumer behavior (Büttner & Silberer, 2008). This article reviews research methods studying real-time decision-making and discusses the implications of a study using RVPwSAR to observe decision-making strategies during musical improvisation.…”

Section: Introductionmentioning

confidence: 99%

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First-person, video-stimulated recall method for studying musical improvisation strategies

Després

2021

Research Studies in Music Education

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Accessing the strategies implemented during real-time musical creative processes represents a challenge for researchers. Retrospective verbal protocol with subjective aided recall (RVPwSAR), where a first-person video is used as an aid to elicit feedback from a subject, has shown great potential for the study of real-time decision-making in sport, therapy, emergency situations, and consumer behavior. This article reviews research methods studying real-time decision-making and discusses the implications of a previous study using RVPwSAR to observe decision-making strategies during musical improvisation. The objective of this article is twofold: (1) to present the contributions and limitations of the RVPwSAR to arrive at a better understanding of the strategies implemented in real-time during musical improvisation; (2) to discuss the potential of the RVPwSAR for studying the strategies implemented in other real-time musical creative tasks. I argue that research where the RVPwSAR is applied may contribute to a better understanding of the strategies used during the real-time musical process, and, ultimately, contribute to the promotion of creative musical teaching and learning.

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Section: Retrospective Verbal Protocol With Subjective Aided Recall (...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

First-person, video-stimulated recall method for studying musical improvisation strategies

Després

2021

Research Studies in Music Education

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“…The own-point-of-view video generated by this tool has been shown to stimulate recall, leading to more explicit descriptions of decisionmaking resulting from improved psychological immersion of participants. 23 Figure 2 shows a screen shot of video output.…”

Section: Protocol For Simulation Sessionsmentioning

confidence: 99%

“…After this traditional feedback session, residents completed an additional 30-minute individual debriefing session (the focus of this study). During this session, another emergency physician (A.S.) guided residents through a cognitive-task analysis using a subjective re-situ interview protocol, 23 in which residents viewed their first-person video performance, starting when they began to read the first clinical vignette. A.S. had previous experience with this type of interviewing technique.…”

Section: Feedback and Cognitive Task Analysismentioning

confidence: 99%

Starting to Think Like an Expert: An Analysis of Resident Cognitive Processes During Simulation-Based Resuscitation Examinations

Szulewski

Braund

Egan

et al. 2019

Annals of Emergency Medicine

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People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website.• The final author version and the galley proof are versions of the publication after peer review.• The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal.If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the "Taverne" license above, please follow below link for the End User Agreement:

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“…[5][6][7][8] These decisions range from attributing a diagnosis (or at least reaching a sufficient understanding of a clinical problem to direct management) to ordering investigations and determining optimal management (defined by Cook et al 9 as "choices about treatment, follow-up visits, further testing, and allocation of limited resources," which would include resuscitation, admission, and discharge in the emergency setting). 7,10 In the literature, many terms are used to describe clinical reasoning, including "critical thinking," "problem solving," "diagnostic reasoning," and even "decisionmaking." 11,12 Many authors use them interchangeably, whereas others do not.…”

Section: Introductionmentioning

confidence: 99%

A Scoping Review of Physicians’ Clinical Reasoning in Emergency Departments

Pelaccia

Plotnick

Audétat

et al. 2020

Annals of Emergency Medicine

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Study objective: Clinical reasoning is considered a core competency of physicians. Yet there is a paucity of research on clinical reasoning specifically in emergency medicine, as highlighted in the literature. Methods:We conducted a scoping review to examine the state of research on clinical reasoning in this specialty. Our team, composed of content and methodological experts, identified 3,763 articles in the literature, 95 of which were included.Results: Most studies were published after 2000. Few studies focused on the cognitive processes involved in decisionmaking (ie, clinical reasoning). Of these, many confirmed findings from the general literature on clinical reasoning; specifically, the role of both intuitive and analytic processes. We categorized factors that influence decisionmaking into contextual, patient, and physician factors. Many studies focused on decisions in regard to investigations and admission. Test ordering is influenced by physicians' experience, fear of litigation, and concerns about malpractice. Fear of litigation and malpractice also increases physicians' propensity to admit patients. Context influences reasoning but findings pertaining to specific factors, such as patient flow and workload, were inconsistent. Conclusion:Many studies used designs such as descriptive or correlational methods, limiting the strength of findings. Many gray areas persist, in which studies are either scarce or yield conflicting results. The findings of this scoping review should encourage us to intensify research in the field of emergency physicians' clinical reasoning, particularly on the cognitive processes at play and the factors influencing them, using appropriate theoretical frameworks and more robust methods.

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A Novel Approach to Study Medical Decision Making in the Clinical Setting: The “Own‐point‐of‐view” Perspective

Abstract: Background: Making diagnostic and therapeutic decisions is a critical activity among physicians. It relies on the

Cited by 16 publications

References 51 publications

First-person, video-stimulated recall method for studying musical improvisation strategies

First-person, video-stimulated recall method for studying musical improvisation strategies

Starting to Think Like an Expert: An Analysis of Resident Cognitive Processes During Simulation-Based Resuscitation Examinations

A Scoping Review of Physicians’ Clinical Reasoning in Emergency Departments

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