Visual perception, cognition and error in dermatologic diagnosis, Part 2 of 2

Publication date: Available online 21 February 2019

Source: Journal of the American Academy of Dermatology

Author(s): Eve J. Lowenstein, Richard Sidlow, Christine Ko

Abstract

Diagnostic error in dermatology is a large practice gap that has received little attention. Diagnosis in dermatology relies heavily on a heuristic approach responsible for our perception of clinical findings. In order to improve our diagnostic accuracy, a better understanding of the strengths and limitations of heuristics (cognitive short cuts) used in dermatology is essential. Numerous methods have been proposed to improve diagnostic accuracy, including brain training, reducing cognitive load, getting feedback and second opinions. Becoming comfortable with the uncertainty intrinsic to medicine is essential. Ultimately, the practice of metacognition, or thinking about how we think, can offer corrective insights to improve accuracy in diagnosis.

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