Neurocognitive Correlates of Clinical Decision Making: A Pilot Study Using Electroencephalography

Author:

Toy Serkan1ORCID,Shafiei Somayeh B.2ORCID,Ozsoy Sahin3,Abernathy James4,Bozdemir Eda5,Rau Kristofer K.6,Schwengel Deborah A.4

Affiliation:

1. Departments of Basic Science Education & Health Systems and Implementation Science, Virginia Tech Carilion School of Medicine, Roanoke, VA 24016, USA

2. Intelligent Cancer Care Laboratory, Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA

3. BioSoftPro, LLC, Kensington, MD 20895, USA

4. Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, 1800 Orleans Street, Baltimore, MD 21287, USA

5. Department of Pathology, Yale School of Medicine, New Haven, CT 06520, USA

6. Department of Basic Science Education, Virginia Tech Carilion School of Medicine, Roanoke, VA 24016, USA

Abstract

The development of sound clinical reasoning, while essential for optimal patient care, can be quite an elusive process. Researchers typically rely on a self-report or observational measures to study decision making, but clinicians’ reasoning processes may not be apparent to themselves or outside observers. This study explored electroencephalography (EEG) to examine neurocognitive correlates of clinical decision making during a simulated American Board of Anesthesiology-style standardized oral exam. Eight novice anesthesiology residents and eight fellows who had recently passed their board exams were included in the study. Measures included EEG recordings from each participant, demographic information, self-reported cognitive load, and observed performance. To examine neurocognitive correlates of clinical decision making, power spectral density (PSD) and functional connectivity between pairs of EEG channels were analyzed. Although both groups reported similar cognitive load (p = 0.840), fellows outperformed novices based on performance scores (p < 0.001). PSD showed no significant differences between the groups. Several coherence features showed significant differences between fellows and residents, mostly related to the channels within the frontal, between the frontal and parietal, and between the frontal and temporal areas. The functional connectivity patterns found in this study could provide some clues for future hypothesis-driven studies in examining the underlying cognitive processes that lead to better clinical reasoning.

Funder

Johns Hopkins University Department of Anesthesiology and Critical Care Medicine Stimulating

Advancing ACCM Research (StAAR) Grant

Publisher

MDPI AG

Subject

General Neuroscience

Reference54 articles.

1. What every teacher needs to know about clinical reasoning;Eva;Med. Educ.,2005

2. Factors influencing clinical decision making;Smith;Clin. Reason. Health Prof.,2008

3. Adaptive expertise in medical decision making;Croskerry;Med. Teach.,2018

4. Dual-Processing Accounts of Reasoning, Judgment, and Social Cognition;Evans;Annu. Rev. Psychol.,2008

5. Kahneman, D., and Frederick, S. (2002). Heuristics and Biases, Cambrige University Press.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3