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The individual doctor’s role in appraisal and revalidation
Published in Peter Davies, How to Get Through Revalidation, 2019
The first is a cognitive flaw we all have: we tend to gild the lily in areas we already know well and miss the gaps in our knowledge of other areas. In appraisal, the doctor being appraised presents positive evidence of what they have done and why, and the appraiser properly pays attention to this. What goes unsaid by the appraisee, and is often unnoticed by the appraiser, is where the areas of weakness and ignorance lie. Very few of us are aware of our areas of ignorance.9 If we were, we would have done something about them! Appraisal does not have a system within it to pick up on these. We do not know that which we do not know – this is the famous Dunning-Kruger effect.10 The advent of MSF and PSF does now bring the perspective of the other into the discussion, and this may well help here.
Root cause
Published in Russell Kelsey, Patient Safety, 2016
Distinguish between newly designed tasks and tasks that may be well established but just unfamiliar to a specific clinician. If a clinician tries to do something for which they do not possess sufficient experience, then the question is one of what compelled them to do it. The Dunning–Kruger effect – overestimation of their own ability? Or a service design that compels staff to take risks?
Resident-teaching of ethics in undergraduate medical education: a grounded theory analysis
Published in Baylor University Medical Center Proceedings, 2023
Cindy Schmidt, Nauman Ashraf, Kristine A. Stevens
Such reactions to initial classroom teaching experiences resonate throughout educational settings. The term has been described in the literature as “imposter phenomenon,” where teachers have feelings of incompetence despite evidence of competence. This can result in frustration even on the part of otherwise talented and experienced teachers. The Dunning Kruger effect explains that novices don’t know what they don’t know, so it would be difficult to identify for themselves what and how they needed to develop. The Dunning Kruger effect describes a path for improving self-awareness by improving skills, which can be applied here. Peer observation and feedback is an effective strategy to combat Dunning Kruger effect. Novice residents-as-teachers would not know what they needed to work on to reduce their insecurities or improve their skills.
Teaching a Sexuality Counseling Course: Counselors-in-Training Experience and Implications for Professional Counseling Programs
Published in American Journal of Sexuality Education, 2022
Betty Cardona, Reka Farago, Robinder P. Bedi
After the course, these CITs still did not feel highly competent in addressing sexuality issues and SGM clients. At the surface, this may seem like a disappointing outcome. However, it can also be seen as quite encouraging. According to the Dunning-Kruger effect (Dunning, 2011), those with low ability/competence tend to overestimate their abilities due to their limited awareness of the phenomenon and its complexity in interaction with self-serving cognitive biases. Therefore, it is highly possible that after being exposed to the nuances and complexities of working with sexuality issues and SGM clients, these CITs realized how much more they needed to know and how large the pool of potential considerations and knowledge base is for highly competent practice. Perhaps these CITs’ self-perceptions of competence became more accurate after taking this course and reflected their newfound understanding of how much it truly takes to be highly competent in these areas. Another way of framing the CITs’ reported experience with regards to competency is that, through the course, they developed more cultural humility in working with SGM clients (Hook et al., 2017), as reflected by their continued beliefs of limited competence.
The knowledge level and perceptions toward COVID-19 among Turkish final year medical students
Published in Postgraduate Medicine, 2020
Fatih Çalışkan, Özlem Mıdık, Zeynep Baykan, Yeşim Şenol, Esra Çınar Tanrıverdi, Funda İfakat Tengiz, Albena Gayef
It is pleasing that the study participants have a high level of perception in the context of educational management. On the other hand, it is necessary to approach this finding and its possible consequences carefully, as Eva and Regehr emphasize. It is essential to determine whether this is an educational success or the Dunning–Kruger effect, a label given to observations of meta-ignorance and its consequences in many domains concerning the assessment of both abstract (e.g., cognitive ability) and specific (e.g., knowledge about a certain subject) skills. One well-documented trait is the observation that people who lack certain skills tend to not only judge their skills poorly but also struggle to accurately assess the skills of others. For example, Dunning and Kruger found that people who perform poorly on abstract grammar tests overestimate their abilities and underestimate the abilities of those who performed comparatively better [15]. Under the Dunning–Kruger effect, our students may take unnecessary risks, have insufficient protection, or may cause malpractice: therefore, the instructors must be aware of those possibilities.