David C N Wong, Yushan Wu, Hong Fung, Eng-Kiong Yeoh, Ho-Man Shum, William Y H Cheung, Yi Chung Cheung, Chun Pong Lam, Vincent C H Chung
The Provision and Perceptions of Telemedicine Services Among Traditional Chinese Medicine Practitioners During COVID-19: A Cross-Sectional Study in Hong Kong, China
Telemedicine journal and e-health : the official journal of the American Telemedicine Association
aims identify appraise describe studies cognitive interventions improve diagnostic decision making ddm amongst medical professionals assess effectiveness identify methodological limitations existing studies methods systematically searched studies publication date 20002016 multiple databases including cochrane controlled trials embase eric medline pubmed psycinfo used additional strategies hand searching snowballing included studies evaluated cognitive interventions enhance ddm amongst medical professionals using defined outcomes diagnostic accuracy metaanalysis assessed impact reflection results fortyfour studies 10114 screened citations involving 4380 medical professionals included studies evaluated reasoning workshopscurricula debiasing workshops checklists reflection feedback instructions induce analytical thinking guided reflection demonstrated improve ddm effect size 03895ci 023052 p 0001 immediate feedback modeling reflection using contrasting examples also appeared improve diagnostic accuracy however underlying methodological issues prevented quantitative assessment strategies reflection conclusions educational interventions incorporating practising deliberate reflection formulated diagnosis modeled reflection contrasting examples immediate feedback promising strategies improving ddm effectiveness strategies unknown methodological refinements required future research