Effect of expertise on diagnosis accuracy, non-technical skills and thought processes during simulated high-fidelity anaesthetist scenarios

Abstract

1We examined the thought processes and performance of anaesthetists during 2 simulated environments. Verbal reports of thinking and the Anaesthetists Non- 3Technical Skills (ANTS) were recorded to examine cognitive processes, non-technical 4 behaviours and diagnosis accuracy during fully immersive, high-fidelity medical 5 scenarios. Skilled (n = 6) and less skilled (n = 9) anaesthetists were instructed to 6 respond to medical scenarios experienced in theatre. Skilled participants demonstrated 7 higher diagnosis accuracy and ANTS scores compared to less skilled participants.

Seeing isn’t necessarily believing: Misleading contextual information influences perceptual-cognitive bias in radiologists.

“…and continued until participants described all the thoughts they had prior to completing the diagnosis. As opposed to the concurrent verbal reports used in previous work (e.g., McRobert et al, 2013McRobert et al, , 2017, a retrospective approach was used to avoid interfering with the continuous verbal dictation of findings/impressions that occurs during daily practice. Participants were permitted to keep case notes and images open during the verbal report procedure to facilitate complete recollection but were discouraged from providing summaries of their thoughts or verbalizing new thoughts that occurred after the diagnosis was complete.…”

“…Visual search behaviors were assessed using a head-mounted eye tracking system. While gaze recording is commonplace in studies of diagnostic behavior (see van der Gijp et al, 2017), to our knowledge only a few researchers have attempted to measure the underlying cognitive processes associated with diagnostic performance using self-report measures such as verbal reports (see Cormier, Pickett-Hauber, & Whyte, 2010; McRobert et al, 2013; McRobert, Mercer, Raw, Goulding, & Williams, 2017; Whyte, Cormier, & Pickett-Hauber, 2010). For example, McRobert and colleagues collected concurrent verbal reports from a group of skilled and less-skilled emergency medicine doctors who diagnosed emergency room scenarios.…”

In situ simulation-based team training and its significance for transfer of learning to clinical practice—A qualitative focus group interview study of anaesthesia personnel

“…Anaesthesia personnel work with an interprofessional team in the operating room and have a crucial role ensuring patient care and safety e.g. resolving airway complications to prevent adverse events [16][17][18]. NTS include the cognitive, social and personal resource skills that complement technical skills and contribute to safe and efficient task performance [19].…”

Exploring the use of think aloud within Women’s artistic gymnastics judging education

“…Verbal reporting has been previously used in other forms of education and training, specifically that of Think Aloud (a form of verbal reporting), within fields such as nursing education (McRobert, Mercer, Raw, Goulding, & Williams, 2017), self-regulated reading (Hua & Gao, 2017), and motor-learning in rehabilitation (Kleynen, Moser, Haarsma, Beurskens, & Braun, 2017). Think Aloud (TA) requires continuous verbalisation of thoughts during the performance of a task (Ericsson & Simon, 1983).…”