Med Educ December 2019 PMID 31397007

Cognitive dissonance: how self-protective distortions can undermine clinical judgement.

Jill Klein, Geoff McColl

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Mentions

21
Peak: 6 in Aug 2019
across 2 sources since Aug 2019

Extended reach

91,825
potential audience

Total likes

39

Video views

338

Mentions per month

Aug 2019 – Sep 2024

Where it's discussed

  • X / Twitter19 posts
  • YouTube2 videos

AI synopsis

What people are saying

Discussions highlight the relevance of cognitive dissonance in healthcare, with examples like doctors in the 1800s ignoring handwashing and current clinicians potentially continuing suboptimal treatments. The tone is thoughtful and inquisitive, underscoring the article's potential to influence clinical judgment and learning practices.

AgreementModerate agreement

Most discussions acknowledge the importance of cognitive dissonance in clinical practice and agree with the article's emphasis on its negative effects.

InterestHigh interest

Users demonstrate high curiosity, engaging with related topics like historical medical practices and current clinical challenges.

EngagementModerate engagement

Posts reference specific concepts, such as escalation of commitment and historical examples, showing thoughtful reflection.

ImpactModerate impact

Discussions suggest the article could influence professional practice by raising awareness of cognitive biases, though concrete changes are still developing.

Abstract in brief

  • This paper explains how cognitive dissonance, the mental discomfort caused when holding conflicting beliefs, can negatively impact clinical judgment by making healthcare professionals less receptive to recognizing and correcting errors.
  • It discusses the circumstances in which dissonance is most likely to occur in medical practice, illustrating its effects through historical and ongoing medical examples, and suggests ways to reduce its influence to improve clinical decision-making and learning.
  • The authors highlight that although cognitive dissonance is well-studied in social psychology, it is under-recognized in medical education, and addressing it could prevent judgment errors, promote better learning, and enhance patient care by encouraging more open acknowledgment of mistakes.]

Top posts

Most liked on X and Bluesky
Rhea Liang
@LiangRhea · X

'Psychologists have found that people can become entrapped in continuing down a suboptimal path, escalating their commitment to a choice even in the face of evidence that outcomes are poor'. Reasons why medical practice is slow to change... @patientsafe3 https://t.co/kWwX9x9a6u

Aug 20, 2019 · 16 likes · 6 shares · 19,252 followers View post →
Medical Education
@MedEd_Journal · X

Klein & McColl review how #CognitiveDissonance can distort judgments, delay optimal responses & hinder learning in clinical settings in an effort to develop a model outlining how it occurs and to derive suggestions for reducing its impact. https://t.co/ZkNJRtdhSh @MelbBSchool

Nov 22, 2019 · 10 likes · 5 shares · 13,010 followers View post →
anna baverstock
@anna_annabav · X

Listening to this fabulous podcast on the way into work and now down a reading rabbit hole about cognitive dissonance while waiting for the kettle to boil! Thankyou @mindfullmedic @JillKleinMBS https://t.co/1rMIFbmzcG https://t.co/CU3QA5FHIq

Feb 15, 2024 · 3 likes · 3,496 followers View post →
Gabrielle Babbington
@glbabbington · X

“The construct of cognitive dissonance is very relevant to the clinical context… People can become entrapped in continuing down a suboptimal path, escalating their commitment to a choice even in the face of evidence that outcomes are poor.” https://t.co/nAqJoQC7Td

Jan 13, 2022 · 2 likes · 1 share · 2,422 followers View post →
Medical Education
@MedEd_Journal · X

@asmeofficial Read the accompanying article to this podcast: https://t.co/rdG0mDfWEo @asmeofficial 2/2

Dec 4, 2019 · 1 like · 1 share · 13,010 followers View post →
Nate Wong
@alliseeisgolf · X

@CraigLiebenson @giovanni_ef @owens_dpt @zadro_josh @BrazJPhysTher @msk_health @MaryOKeeffe007 @CGMMaher @_Tyson_Beach @OsteloR Another good one here: https://t.co/dRPMsgZgSt

May 10, 2020 · 1 like · 908 followers View post →

All mentions

anna baverstock
@anna_annabav · X

Listening to this fabulous podcast on the way into work and now down a reading rabbit hole about cognitive dissonance while waiting for the kettle to boil! Thankyou @mindfullmedic @JillKleinMBS https://t.co/1rMIFbmzcG https://t.co/CU3QA5FHIq

Feb 15, 2024 · 3 likes · 3,496 followers View post →
l4x0g
@laxog_poppy · X

@angelanashtn https://t.co/IFyat32gDB

Nov 12, 2022 · 67 followers View post →
Sharon Thornton
@_SharonThornton · X

RT @glbabbington: “The construct of cognitive dissonance is very relevant to the clinical context… People can become entrapped in continuin…

Jan 21, 2022 · 1 share · 890 followers View post →
Gabrielle Babbington
@glbabbington · X

@Fiona_M_Russell “The construct of cognitive dissonance is very relevant to the clinical context… People can become entrapped in continuing down a suboptimal path, escalating their commitment to a choice even in the face of evidence that outcomes are poor.” https://t.co/nAqJoQC7Td

Jan 13, 2022 · 2,422 followers View post →
Gabrielle Babbington
@glbabbington · X

“The construct of cognitive dissonance is very relevant to the clinical context… People can become entrapped in continuing down a suboptimal path, escalating their commitment to a choice even in the face of evidence that outcomes are poor.” https://t.co/nAqJoQC7Td

Jan 13, 2022 · 2 likes · 1 share · 2,422 followers View post →
Nate Wong
@alliseeisgolf · X

@CraigLiebenson @giovanni_ef @owens_dpt @zadro_josh @BrazJPhysTher @msk_health @MaryOKeeffe007 @CGMMaher @_Tyson_Beach @OsteloR Another good one here: https://t.co/dRPMsgZgSt

May 10, 2020 · 1 like · 908 followers View post →
Nate Wong
@alliseeisgolf · X

Imagine, in the 1800s, the doctors that delivered hundreds of babies while not scrubbing up & washing hands learning about childbed fever, how would they feel? What’s are examples of cognitive dissonance in health care today? https://t.co/dRPMsgZgSt

Feb 7, 2020 · 1 like · 908 followers View post →
drkim_meded
@DrkimMeded · X

RT @MedEd_Journal: @asmeofficial Read the accompanying article to this podcast: https://t.co/rdG0mDfWEo @asmeofficial 2/2

Dec 4, 2019 · 1 share · 604 followers View post →
Medical Education
@MedEd_Journal · X

@asmeofficial Read the accompanying article to this podcast: https://t.co/rdG0mDfWEo @asmeofficial 2/2

Dec 4, 2019 · 1 like · 1 share · 13,010 followers View post →
Ryan San Diego
@RJ_SanDiego · X

RT @MedEd_Journal: Klein & McColl review how #CognitiveDissonance can distort judgments, delay optimal responses & hinder learning in clini…

Nov 22, 2019 · 5 shares · 592 followers View post →
minisingh
@drminisingh · X

Cognitive dissonance: how self‐protective distortions can undermine clinical judgement - Klein - 2019 - Medical Education - Wiley Online Library. Excellent paper articulating the challenges cognitive dissonance creates for effective #clinicalreasoning https://t.co/FFWQXUkfLi

Nov 22, 2019 · 383 followers View post →
TASME UK
@tasme_uk · X

RT @MedEd_Journal: Klein & McColl review how #CognitiveDissonance can distort judgments, delay optimal responses & hinder learning in clini…

Nov 22, 2019 · 5 shares · 4,808 followers View post →
Medical Education
@MedEd_Journal · X

Klein & McColl review how #CognitiveDissonance can distort judgments, delay optimal responses & hinder learning in clinical settings in an effort to develop a model outlining how it occurs and to derive suggestions for reducing its impact. https://t.co/ZkNJRtdhSh @MelbBSchool

Nov 22, 2019 · 10 likes · 5 shares · 13,010 followers View post →
Dr Celestino Gutiérrez González MD
@CelestinoGutirr · X

RT @LiangRhea: 'Psychologists have found that people can become entrapped in continuing down a suboptimal path, escalating their commitment…

Aug 24, 2019 · 6 shares · 11,328 followers View post →
Alex Clark
@DrAlexMClark · X

RT @LiangRhea: 'Psychologists have found that people can become entrapped in continuing down a suboptimal path, escalating their commitment…

Aug 20, 2019 · 6 shares · 3,396 followers View post →
Nicole L. Stout DPT, FAPTA
@NicoleStoutPT · X

RT @LiangRhea: 'Psychologists have found that people can become entrapped in continuing down a suboptimal path, escalating their commitment…

Aug 20, 2019 · 6 shares · 8,808 followers View post →
HeatherG
@GallyHJ · X

RT @LiangRhea: 'Psychologists have found that people can become entrapped in continuing down a suboptimal path, escalating their commitment…

Aug 20, 2019 · 6 shares · 3,802 followers View post →
Erin Hawkey she/her
@ErinHawkey · X

RT @LiangRhea: 'Psychologists have found that people can become entrapped in continuing down a suboptimal path, escalating their commitment…

Aug 20, 2019 · 6 shares · 1,272 followers View post →
Rhea Liang
@LiangRhea · X

'Psychologists have found that people can become entrapped in continuing down a suboptimal path, escalating their commitment to a choice even in the face of evidence that outcomes are poor'. Reasons why medical practice is slow to change... @patientsafe3 https://t.co/kWwX9x9a6u

Aug 20, 2019 · 16 likes · 6 shares · 19,252 followers View post →