Evidence map›Paper›PMID 37329493›Full record

Trial reportAdvances in health sciences education : theory and practice2024

Impact of performance and information feedback on medical interns' confidence-accuracy calibration.

J Staal, K Katarya, M Speelman, R Brand, J Alsma, J Sloane, W W Van den Broek, L Zwaan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Advances in health sciences education : theory and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

8 authors.

J Staal *Institute of Medical Education Research, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands. j.staal@erasmusmc.nl.
K Katarya *Institute of Medical Education Research, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
M SpeelmanDepartment of Internal Medicine, Franciscus Gasthuis & Vlietland, Rotterdam, The Netherlands.
R BrandIntensive Care Unit, Haaglanden Medical Center Den Haag, The Hague, The Netherlands.
J AlsmaDepartment of Internal Medicine, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
J SloaneCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center and Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
W W Van den BroekInstitute of Medical Education Research, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
L ZwaanInstitute of Medical Education Research, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.

Funding

NWO 45116032
6 · The paper itself

Abstract

Diagnostic errors are a major, largely preventable, patient safety concern. Error interventions cannot feasibly be implemented for every patient that is seen. To identify cases at high risk of error, clinicians should have a good calibration between their perceived and actual accuracy. This experiment studied the impact of feedback on medical interns' calibration and diagnostic process. In a two-phase experiment, 125 medical interns from Dutch University Medical Centers were randomized to receive no feedback (control), feedback on their accuracy (performance feedback), or feedback with additional information on why a certain diagnosis was correct (information feedback) on 20 chest X-rays they diagnosed in a feedback phase. A test phase immediately followed this phase and had all interns diagnose an additional 10 X-rays without feedback. Outcome measures were confidence-accuracy calibration, diagnostic accuracy, confidence, and time to diagnose. Both feedback types improved overall confidence-accuracy calibration (R

Indexed as

Internship and ResidencyAcademic Medical CentersCalibrationClinical CompetenceFeedbackHumansCalibrationClinical reasoningDiagnostic errorFeedbackMedical education

Identifiers

PMID37329493
PMCPMC10927782

What OpenQuestion holds

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LicenceCC BY
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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.