Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting

Chew, Keng Sheng and Van Merrienboer, Jeroen J. G and Durning, Steven J. (2019) Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Medical Education, 19 (1). pp. 1-12. ISSN 1472-6920

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Abstract

Establishing a diagnosis is a complex, iterative process involving patient data gathering, integration and interpretation. Premature closure is a fallacious cognitive tendency of closing the diagnostic process before sufficient data have been gathered. A proposed strategy to minimize premature closure is the use of a checklist to trigger metacognition (the process of monitoring one’s own thinking). A number of studies have suggested the effectiveness of this strategy in classroom settings. This qualitative study examined the perception of usability of a metacognitive mnemonic checklist called TWED checklist (where the letter “T = Threat”, “W = What if I am wrong? What else?”, “E = Evidence” and “D = Dispositional influence”) in a real clinical setting.

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