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Decision making in healthcare setting

Informacje ogólne

Kod przedmiotu: WF-PS-LAUDDECIS-ER Kod Erasmus / ISCED: 14.4 / (brak danych)
Nazwa przedmiotu: Decision making in healthcare setting
Jednostka: Instytut Psychologii
Grupy: Grupa przedmiotów - oferta Erasmus
Grupa przedmiotów ogólnouczelnianych - Obszar nauk społecznych (I stopień i jednolite magisterskie)
Wykłady monograficzne - Psychologia
Zajęcia w językach obcych w Instytucie Psychologii
Punkty ECTS i inne: 8.00
Język prowadzenia: angielski
Poziom przedmiotu:

zaawansowany

Symbol/Symbole efektów kształcenia:

K_W02

K_W03

K_K03

Skrócony opis:

Decision making in the medicine remains an elusive yet critical process. The quality of data, nature decision-making processes, personal preferences, feedback, and social issues are few of the variables participating in the process starting from a patient presenting with the problem. This process terminates in formulating, executing, and assessing the effectiveness of the treatment plan.

The course will explore the anatomy of the decision-making process and review the effect of medical provider personality, prior experiences, and the effect of family/patient. We will evaluate the applicability of several theoretical frameworks used to describe decision making in medicine (frame, dual level, gist/verbatim, quantum models, others). Finally, the features of the optimal decision-making process will be identified.

Pełny opis:

Decision making in the medicine remains an elusive yet critical process. The quality of data, nature decision-making processes, personal preferences, feedback, and social issues are few of the variables participating in the process starting from a patient presenting with the problem. This process terminates in formulating, executing, and assessing the effectiveness of the treatment plan.

The course will explore the anatomy of the decision-making process and review the effect of medical provider personality, prior experiences, and the effect of family/patient. We will evaluate the applicability of several theoretical frameworks used to describe decision making in medicine (frame, dual level, gist/verbatim, quantum models, others). Finally, the features of the optimal decision-making process will be identified. A special emphasis will be placed on decision-making in critical care, palliative care, and preventive medicine. The outline of the lecture may be modified to some extent depending on the participant's interests and findings.

This is a class for highly motivated students with significant self-discipline. Participants will explore the EBSCO, Pubmed and other sources. A total of 15 students will be admitted.

The course is divided into two parts – on-line (units 1-10) and series of interactive lectures (unit 11-15).

1. What is so special about decision making in medicine?

a. Process itself

b. Importance of the outcome

2. Medical environment

a. Cognitive load

b. Distraction

c. Fatigue/burnout

3. Who is on the medical team – does having a village makes it better?

4. Quality of data in medicine

5. Conflict during decision-making process in medicine

a. Sources of conflict

b. Strategies to deal with conflict.

6. Cognitive appraisal during decision making.

7. Why „buy in” into the decision is so prevalent?

a. Reasons for commitment to given diagnosis/treatment

b. Feedback

8. Risk taking by medical professionals.

9. Frame vs. fuzzy trace vs quantum theory of decision making

10. Lecture – preventive medicine

11. Lecture – critical care illness

12. Lecture – palliative care.

13. Lecture – presentation of an assignment „How many people is optimal for decision making process? Do we need 0, 1, 2 or 3+ people?”

14. Lecture – presentation of assignment „Is it true or false (and why) when doctor say – „ I would do this for my mother?””

15. Lecture – presentation of assignment „Who is the best person to be your health advocate?”

16. Paper presentation, final exam, feedback, and conclusion.

Literatura:

Djulbegovic B, Hozo I, Beckstead J, Tsalatsanis A, Pauker SG. Dual processing model of medical decision-making. BMC Med Inform Decis Mak. 2012 Sep 3;12:94

Bedia M, Di Paolo E. Unreliable Gut Feelings Can Lead to Correct Decisions: The Somatic Marker Hypothesis in Non-Linear Decision Chains. Front Psychol. 2012; 3: 384.

Reyna, Valerie F.; Nelson, Wendy L.; Han, Paul K.; Pignone, Michael P. Decision making and cancer. American Psychologist, Vol 70(2), Feb-Mar 2015, 105-118.

Kiesewetter J, Ebersbach R, Tsalas N, Holzer M, Schmidmaier R, Fischer MR. Knowledge is not enough to solve the problems - The role of diagnostic knowledge in clinical reasoning activities. BMC Med Educ. 2016 Nov 24;16(1):303.

Reyna VF1, Lloyd FJ. Physician decision making and cardiac risk: effects of knowledge, risk perception, risk tolerance, and fuzzy processing. J Exp Psychol Appl. 2006 Sep;12(3):179-95.

Metody i kryteria oceniania:

The course is divided into e-learning and interactive lectures. A student will familiarize him/herself with literature about unit #1-#10.

• Active participation in 80% of lectures is required.

• Completion of two essays (200 words) covering the literature in the pre-lecture part. These essays will be assigned after enrollment to the class.

• During the interactive lecture, students will be divided into three groups and present solutions to assignments above.

• Presentation of an interesting paper of their choosing about the scope of the lecture – 5 minutes oral presentations including background, the reason for selection, methodology, finding, strength and weakness of paper, conclusion, the applicability of the findings.

• The test will be conducted at the beginning and end of the lectures series. 75% positive score is needed to qualify for a satisfactory grade on both exams.

Zajęcia w cyklu "Semestr zimowy 2017/18" (w trakcie)

Okres: 2017-10-01 - 2018-01-31
Wybrany podział planu:


powiększ
zobacz plan zajęć
Typ zajęć: Wykład, 30 godzin, 20 miejsc więcej informacji
Koordynatorzy: Krzysztof Laudański, Agnieszka Szymańska, Adam Świeżyński
Prowadzący grup: Krzysztof Laudański, Agnieszka Szymańska, Adam Świeżyński
Lista studentów: (nie masz dostępu)
Zaliczenie: Egzaminacyjny
E-Learning:

E-Learning (pełny kurs) z podziałem na grupy

Typ przedmiotu:

fakultatywny dowolnego wyboru

Skrócony opis:

Decision making in the medicine remains an elusive yet critical process. The quality of data, nature decision-making processes, personal preferences, feedback, and social issues are few of the variables participating in the process starting from a patient presenting with the problem. This process terminates in formulating, executing, and assessing the effectiveness of the treatment plan.

The course will explore the anatomy of the decision-making process and review the effect of medical provider personality, prior experiences, and the effect of family/patient. We will evaluate the applicability of several theoretical frameworks used to describe decision making in medicine (frame, dual level, gist/verbatim, quantum models, others). Finally, the features of the optimal decision-making process will be identified. A special emphasis will be placed on decision-making in critical care, palliative care, and preventive medicine. The outline of the lecture may be modified to some extent depending on the participant's interests and findings.

This is a class for highly motivated students with significant self-discipline. Participants will explore the EBSCO, Pubmed and other sources. A total of 15 students will be admitted.

Pełny opis:

Decision making in the medicine remains an elusive yet critical process. The quality of data, nature decision-making processes, personal preferences, feedback, and social issues are few of the variables participating in the process starting from a patient presenting with the problem. This process terminates in formulating, executing, and assessing the effectiveness of the treatment plan.

The course will explore the anatomy of the decision-making process and review the effect of medical provider personality, prior experiences, and the effect of family/patient. We will evaluate the applicability of several theoretical frameworks used to describe decision making in medicine (frame, dual level, gist/verbatim, quantum models, others). Finally, the features of the optimal decision-making process will be identified. A special emphasis will be placed on decision-making in critical care, palliative care, and preventive medicine. The outline of the lecture may be modified to some extent depending on the participant's interests and findings.

This is a class for highly motivated students with significant self-discipline. Participants will explore the EBSCO, Pubmed and other sources. A total of 15 students will be admitted.

The course is divided into two parts – on-line (units 1-10) and series of interactive lectures (unit 11-15).

1. What is so special about decision making in medicine?

a. Process itself

b. Importance of the outcome

2. Medical environment

a. Cognitive load

b. Distraction

c. Fatigue/burnout

3. Who is on the medical team – does having a village makes it better?

4. Quality of data in medicine

5. Conflict during decision-making process in medicine

a. Sources of conflict

b. Strategies to deal with conflict.

6. Cognitive appraisal during decision making.

7. Why „buy in” into the decision is so prevalent?

a. Reasons for commitment to given diagnosis/treatment

b. Feedback

8. Risk taking by medical professionals.

9. Frame vs. fuzzy trace vs quantum theory of decision making

10. Lecture – preventive medicine

11. Lecture – critical care illness

12. Lecture – palliative care.

13. Lecture – presentation of an assignment „How many people is optimal for decision making process? Do we need 0, 1, 2 or 3+ people?”

14. Lecture – presentation of assignment „Is it true or false (and why) when doctor say – „ I would do this for my mother?””

15. Lecture – presentation of assignment „Who is the best person to be your health advocate?”

16. Paper presentation, final exam, feedback, and conclusion.

Literatura:

Djulbegovic B, Hozo I, Beckstead J, Tsalatsanis A, Pauker SG. Dual processing model of medical decision-making. BMC Med Inform Decis Mak. 2012 Sep 3;12:94

Bedia M, Di Paolo E. Unreliable Gut Feelings Can Lead to Correct Decisions: The Somatic Marker Hypothesis in Non-Linear Decision Chains. Front Psychol. 2012; 3: 384.

Reyna, Valerie F.; Nelson, Wendy L.; Han, Paul K.; Pignone, Michael P. Decision making and cancer. American Psychologist, Vol 70(2), Feb-Mar 2015, 105-118.

Kiesewetter J, Ebersbach R, Tsalas N, Holzer M, Schmidmaier R, Fischer MR. Knowledge is not enough to solve the problems - The role of diagnostic knowledge in clinical reasoning activities. BMC Med Educ. 2016 Nov 24;16(1):303.

Reyna VF1, Lloyd FJ. Physician decision making and cardiac risk: effects of knowledge, risk perception, risk tolerance, and fuzzy processing. J Exp Psychol Appl. 2006 Sep;12(3):179-95.

Opisy przedmiotów w USOS i USOSweb są chronione prawem autorskim.
Właścicielem praw autorskich jest Uniwersytet Kardynała Stefana Wyszyńskiego w Warszawie.