Evidence map›Paper›PMID 36759370›Full record

ArticleCognitive research: principles and implications2023

The challenge of cognitive science for medical diagnosis.

Pat Croskerry, Samuel G Campbell, David A Petrie

Abstract read
In one paragraph

Article in Cognitive research: principles and implications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Transforming Human-AI Collaboration in Emergency Care: The Role of AI in Adaptive Support Across Diagnostic Reasoning Modes.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Diagnosis through prisms: Unraveling its complexity.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Elephant in the Room: an Exercise in Clinical Reasoning.Journal of general internal medicine · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Errors in clinical diagnosis: a narrative review.The Journal of international medical research · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Pat CroskerryDepartment of Emergency Medicine, Faculty of Medicine, Dalhousie University, Halifax, Canada. pgcxkerry@gmail.com.
Samuel G CampbellDepartment of Emergency Medicine, Faculty of Medicine, Dalhousie University, Halifax, Canada.ORCID 0000-0001-5777-8022
David A PetrieDepartment of Emergency Medicine, Faculty of Medicine, Dalhousie University, Halifax, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The historical tendency to view medicine as both an art and a science may have contributed to a disinclination among clinicians towards cognitive science. In particular, this has had an impact on the approach towards the diagnostic process which is a barometer of clinical decision-making behaviour and is increasingly seen as a yardstick of clinician calibration and performance. The process itself is more complicated and complex than was previously imagined, with multiple variables that are difficult to predict, are interactive, and show nonlinearity. They appear to characterise a complex adaptive system. Many aspects of the diagnostic process, including the psychophysics of signal detection and discrimination, ergonomics, probability theory, decision analysis, factor analysis, causal analysis and more recent developments in judgement and decision-making (JDM), especially including the domain of heuristics and cognitive and affective biases, appear fundamental to a good understanding of it. A preliminary analysis of factors such as manifestness of illness and others that may impede clinicians' awareness and understanding of these issues is proposed here. It seems essential that medical trainees be explicitly and systematically exposed to specific areas of cognitive science during the undergraduate curriculum, and learn to incorporate them into clinical reasoning and decision-making. Importantly, this understanding is needed for the development of cognitive bias mitigation and improved calibration of JDM in clinical practice.

Indexed as

Clinical Decision-MakingLearningCognitive ScienceCurriculumJudgment

Identifiers

PMID36759370
PMCPMC9911579

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.