All Doctors Are Jackasses

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Slideshow for the talk I gave at SMACC 2013 titled 'All Doctors Are Jackasses' - see http://lifeinthefastlane.com/2013/03/all-doctors-are-jackasses/ ‎

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All Doctors Are Jackasses

  1. A Talk by Chris Nickson All Doctors Are JackassesPhoto  by  Publicenergy  
  2. WHAT DO I MEAN ?
  3. BLINDSPOT BIAS Photo  by  Zanthia  
  4. Photo  by  Zanthia  
  5. What? Me.. A Jackass?Photo  by  Zanthia  
  6. Thedual process model
  7. From:  Croskerry  P.  Healthc  Q.  2009  PMID:  19667765.  
  8. PATIENT PRESENTATION Pattern PROCESSORrecognised NOT recognisedSYSTEM SYSTEM ONE TWO
  9. Reason? Probability? WTF?! SYSTEM ONE  Photo  from  Star  Trek  
  10. Captain Kirk is in charge? That’s illogical!SYSTEM TWO   Photo  from  Star  Trek  
  11. Photo  by  Loupe  Clean  How they interact
  12. Photo  by  Loupe  Clean  COGN ITVE MISE R
  13. Photo  by  Loupe  Clean  RELEGAT I ON
  14. Photo  by  Loupe  Clean  OVER RIDE
  15. Don’t forget AAA! Loin pain +haematuria = RENAL COLIC Photos  from    Star  Trek  
  16. That’s not a good idea Jim.. Set phasers on STUN!Photos  from  Star  Trek  
  17. Off to work we go..Photo  by  Charles  Fred  
  18. Is the Well’s Score 0 or +3? ENTER THE COGNITIVE MINEFIELD  Photo  by  Defence  Images  
  19. Not too tight… OUCH! MEET THE PATIENT  Photo  courtesy    of  Cliff  Reid  
  20. I’m starving!Photo  courtesy    of  Cliff  Reid  
  21. Could it be acute coronary Perhaps if syndrome? the D-dimer is negative…Photo  from  Dr  Strangelove  
  22. I said “NO CHEESE”! Photo  courtesy    of  Cliff  Reid  
  23. I’m NOTlaughing…My chest HURTS! Photo  courtesy    of  Cliff  Reid  
  24. hNp://lifeinthefastlane.com/ecg-­‐library/anterior-­‐stemi/  
  25. Photo  from  Wikipedia   CABG then OFF WE GO TO THE ICU  
  26. hNp://lifeinthefastlane.com/2010/04/to-­‐err-­‐is-­‐human-­‐002/  
  27. What were they thinking?Photo  by    Klearchos  Kapoutsis  
  28. 1   Over-attachmentto a particular diagnosis Photo  by  visualpanic  
  29. Anchoringconfirmation biaspremature closure Photo  by  visualpanic  
  30. 2   Failure to consider alternative diagnosesPhoto  by  Darwin  Bell  
  31. SEARCH SATISFICING SUTTON’s slipPhoto  by  Darwin  Bell  
  32. 3  Inheriting someone else’s thinking Photo  by  just.Luc  
  33. DIAGNOSTIC MOMENTUM FRAMING EFFECT Photo  by  just.Luc  
  34. 4   prevalence perception or estimationPhoto  by  Darwin  Bell  
  35. AVAILABILITY BIAS BASE RATE NEGLECTPhoto  by  Darwin  Bell  
  36. 5  patient characteristicsor presentation context
  37. NEGATIVE STEREOTYPING TRIAGE CUEING
  38. 6  physician affect, personality or decision style Photo  by  Tal  Bright  
  39. UNDERCONFIDENCE VISCERAL BIAS Photo  by  Tal  Bright  
  40. Only a JACKASS would do that job! UNUSUAL DEMANDS  Photo  from  Apollo  13  
  41. Image  by  Nasa  Goddard  Photo  and  Video  A PERFECT STORM  
  42. Being a Jackass ain’t so bad… At least I’m not a doctor!Photo  by  The  Flying  Gerbil  
  43. Can we think better ?
  44. HOW we CANthink better  
  45. Metacognition  Image  from:  hNp://www.usask.ca/educa]on/coursework/802papers/Adkins/SEC1.HTM  
  46. USEcognitivecheckpoints  
  47. REDUCECognitive load  
  48. Turn experience into expertise  
  49. thinkcritically  
  50. OPTIMISE work conditions  
  51. look after yourself  Photo  by  Kugel  
  52. FINALLY… What youneed to do now  
  53. ThinkLearnTalk Do  
  54. The End! Photo  by  asibiri  

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