Literature DB >> 21715991

Commentary: ambiguity and uncertainty: neglected elements of medical education curricula?

Vera P Luther, Sonia J Crandall.   

Abstract

Despite significant advances in scientific knowledge and technology, ambiguity and uncertainty are still intrinsic aspects of contemporary medicine. To practice confidently and competently, a physician must learn rational approaches to complex and ambiguous clinical scenarios and must possess a certain degree of tolerance of ambiguity. In this commentary, the authors discuss the role that ambiguity and uncertainty play in medicine and emphasize why openly addressing these topics in the formal medical education curriculum is critical. They discuss key points from original research by Wayne and colleagues and their implications for medical education. Finally, the authors offer recommendations for increasing medical student tolerance of ambiguity and uncertainty, including dedicating time to attend candidly to ambiguity and uncertainty as a formal part of every medical school curriculum.

Mesh:

Year:  2011        PMID: 21715991     DOI: 10.1097/ACM.0b013e31821da915

Source DB:  PubMed          Journal:  Acad Med        ISSN: 1040-2446            Impact factor:   6.893


  36 in total

1.  The Diagnosis, Prognosis, and Treatment of Medical Uncertainty.

Authors:  Charlie M Wray; Lawrence K Loo
Journal:  J Grad Med Educ       Date:  2015-12

2.  Do physicians disclose uncertainty when discussing prognosis in grave critical illness?

Authors:  Rachel A Schuster; Seo Yeon Hong; Robert M Arnold; Douglas B White
Journal:  Narrat Inq Bioeth       Date:  2012

3.  Seven Types of Ambiguity in Evaluating the Impact of Humanities Provision in Undergraduate Medicine Curricula.

Authors:  Alan Bleakley
Journal:  J Med Humanit       Date:  2015-12

4.  Using analysis of speech and linguistics to characterize uncertainty in radiology reporting.

Authors:  Bruce I Reiner
Journal:  J Digit Imaging       Date:  2012-12       Impact factor: 4.056

5.  More Than a Touch of Gray: Embracing Uncertainty in the Intensive Care Unit.

Authors:  James M Walter; Benjamin D Singer; Thomas Corbridge
Journal:  Am J Respir Crit Care Med       Date:  2016-10-15       Impact factor: 21.405

6.  Resilience among Employed Physicians and Mid-Level Practitioners in Upstate New York.

Authors:  Anthony C Waddimba; Melissa Scribani; Melinda A Hasbrouck; Nicole Krupa; Paul Jenkins; John J May
Journal:  Health Serv Res       Date:  2016-09-12       Impact factor: 3.402

Review 7.  Quantitative Analysis of Uncertainty in Medical Reporting: Creating a Standardized and Objective Methodology.

Authors:  Bruce I Reiner
Journal:  J Digit Imaging       Date:  2018-04       Impact factor: 4.056

8.  Linking Diagnostic Skill Development, Communication, and Empathy Through Art and Observation.

Authors:  Schoen W Kruse; Monica N Kinde
Journal:  Mo Med       Date:  2019 Sep-Oct

Review 9.  Uncertainty in Decision Making in Medicine: A Scoping Review and Thematic Analysis of Conceptual Models.

Authors:  Marieka A Helou; Deborah DiazGranados; Michael S Ryan; John W Cyrus
Journal:  Acad Med       Date:  2020-01       Impact factor: 6.893

10.  Finding Purpose: Honing the Practice of Making Meaning in Medicine.

Authors:  Lois Leveen
Journal:  Perm J       Date:  2017
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