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Medical Decision-Making in the Physician Hierarchy: A Pilot Pedagogical Evaluation by John Rosasco; Michele L McCarroll; M David Gothard; Jerry Myers; Patrick Hughes; Alan Schwartz; Richard L George; Rami A Ahmed is a Medicine article available to read on EtoBox.

What is Medical Decision-Making in the Physician Hierarchy: A Pilot Pedagogical Evaluation about?

## Purpose: Recently, the American College of Graduate Medical Education included medical decision-making as a core competency in several specialties. To date, the ability to demonstrate and measure a pedagogical evolution of medical judgment in a medical education program has been limited. In this study, we aim to examine differences in medical decision-making of physician groups in distinctly different stages of their postgraduate career. ## Methods: The study recruited physicians with a wide spectrum of disciplines and levels of experience to take part in 4 medical simulations divided into 2 categories, abdominal pain (biliary colic [BC] and renal colic [RC]) or chest pain (cardiac ischemia with ST-segment elevation myocardial infarction [STEMI] and pneumothorax [PTX]). Evaluation of medical decision-making used the Medical Judgment Metric (MJM). The targeted selection criteria for the physician groups are administrative physicians (APs), representing those with the most experience but whose current duties are largely administrative; resident physicians (RPs), those enrolled in postgraduate medical or surgical training; and mastery level physicians (MPs), those deemed to have ma

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Author

John Rosasco; Michele L McCarroll; M David Gothard; Jerry Myers; Patrick Hughes; Alan Schwartz; Richard L George; Rami A Ahmed

Publisher

SAGE Publications

Published

2020

Language

EN

Field

Medicine (Health Sciences)