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J. Am. Acad. Dermatol. · Dec 2019
ReviewVisual perception, cognition, and error in dermatologic diagnosis: Diagnosis and error.
- Eve J Lowenstein, Richard Sidlow, and Christine J Ko.
- SUNY Health Science Center at Brooklyn, Brooklyn, New York; Kings County Hospital Center, Brooklyn, New York; South Nassau Dermatology PC, Oceanside and Long Beach, New York. Electronic address: evlow13@yahoo.com.
- J. Am. Acad. Dermatol. 2019 Dec 1; 81 (6): 1237-1245.
AbstractDiagnostic error in dermatology is a large practice gap that has received little attention. Diagnosis in dermatology relies heavily on a heuristic approach that is responsible for our perception of clinical findings. To improve our diagnostic accuracy, a better understanding of the strengths and limitations of heuristics (cognitive shortcuts) used in dermatology is essential. Numerous methods have been proposed to improve diagnostic accuracy, including brain training, reducing cognitive load, and getting feedback and second opinions. Becoming comfortable with the uncertainty intrinsic to medicine is essential. Ultimately, the practice of metacognition, or thinking about how we think, can offer corrective insights to improve accuracy in diagnosis.Copyright © 2019 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.
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