Today, I am joined by my friend, Mike Lauria, to interview Gary Klein, PhD. Dr. Klein is a masterful cognitive psychologist. He is known for many groundbreaking works, including: the Recognition-Primed Decision (RPD) model to describe how people actually make decisions in natural settings; a Data/Frame model of sensemaking; a Management by Discovery model of planning to handle wicked problems; and a Triple-Path model of insight. He has also developed several research and application methods: The Critical Decision method and Knowledge Audit for doing cognitive task analysis; the PreMortem method of risk assessment; the ShadowBox method for training cognitive skills. He was instrumental in founding the field of Naturalistic Decision Making.
This is the one that got Mike and I started as Klein Fanboys
The absolute best compilation of Dr. Klein's decision-making concepts that are directly applicable to medicine
Next up on my reading list
Recognition Primed Decisionmaking
Wikipedia Link for RPD
Sites and Links
Dr. Klein's Company
Articles Mentioned in the Show
Kahneman D, Klein G. Conditions for intuitive expertise: a failure to disagree. Am Psychol. 2009 Sep;64(6):515-26.
Can We Trust Best Practices? Six Cognitive Challenges of Evidence-Based Approaches. Journal of Cognitive Engineering and Decision Making
Additional Related Stuff
Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.
Effects of reflective practice on the accuracy of medical diagnoses. Going fast might not induce more error, it's about experience and if you have the patterns to recognize:
Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? Slowing down doesn't help. Slow is just slow. Smooth is FAST, and smooth is about economy of cognitive resources and movements
The relationship between response time and diagnostic accuracy.
The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning.
Now on to the Podcast:
EMCrit by Scott Weingart.