Cognitive biases in Mohs micrographic surgery

Faisal Dubash; Andrew Affleck; Marese O’Reilly; Kenneth G. Gross

doi:10.1002/ski2.466

Cognitive biases in Mohs micrographic surgery

Faisal Dubash (Lead / Corresponding author), Andrew Affleck, Marese O’Reilly, Kenneth G. Gross

Undergraduate Medicine

Research output: Contribution to journal › Review article › peer-review

10 Downloads (Pure)

Abstract

Mohs surgeons' fallibility is an important topic to explore. There are no studies on the role of cognitive biases in heuristic decision-making within Mohs micrographic surgery (MMS) as a contributing factor in mistakes or errors of clinical judgement. We reviewed established cognitive biases applied to heuristics during the pre-operative, intraoperative and reconstruction stages of MMS, and recommend conscious cognitive bias mitigating strategies for Mohs surgeons. Clinical errors/incidents may be reframed as opportunities to learn and develop, rather than evidence of competency or status. These experiences offer the opportunity to sharpen skills within metacognition and allow for more cognizant Mohs surgeons. We highly recommend all Mohs surgeons develop in-depth knowledge and maintain awareness of cognitive biases throughout clinical practice, to enhance clinical performance.

Original language	English
Article number	e466
Number of pages	5
Journal	Skin health and disease
Volume	4
Issue number	6
Early online date	1 Dec 2024
DOIs	https://doi.org/10.1002/ski2.466
Publication status	Published - Dec 2024

ASJC Scopus subject areas

Dermatology

Access to Document

10.1002/ski2.466Licence: CC BY

Final published versionFinal published version, 206 KBLicence: CC BY

Cite this

@article{827d0d52df2148399c0aa5fc47069b5f,

title = "Cognitive biases in Mohs micrographic surgery",

abstract = "Mohs surgeons' fallibility is an important topic to explore. There are no studies on the role of cognitive biases in heuristic decision-making within Mohs micrographic surgery (MMS) as a contributing factor in mistakes or errors of clinical judgement. We reviewed established cognitive biases applied to heuristics during the pre-operative, intraoperative and reconstruction stages of MMS, and recommend conscious cognitive bias mitigating strategies for Mohs surgeons. Clinical errors/incidents may be reframed as opportunities to learn and develop, rather than evidence of competency or status. These experiences offer the opportunity to sharpen skills within metacognition and allow for more cognizant Mohs surgeons. We highly recommend all Mohs surgeons develop in-depth knowledge and maintain awareness of cognitive biases throughout clinical practice, to enhance clinical performance.",

author = "Faisal Dubash and Andrew Affleck and Marese O{\textquoteright}Reilly and Gross, \{Kenneth G.\}",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s). Skin Health and Disease published by John Wiley \& Sons Ltd on behalf of British Association of Dermatologists.",

year = "2024",

month = dec,

doi = "10.1002/ski2.466",

language = "English",

volume = "4",

journal = "Skin health and disease",

issn = "2690-442X",

publisher = "Wiley",

number = "6",

}

TY - JOUR

T1 - Cognitive biases in Mohs micrographic surgery

AU - Dubash, Faisal

AU - Affleck, Andrew

AU - O’Reilly, Marese

AU - Gross, Kenneth G.

PY - 2024/12

Y1 - 2024/12

N2 - Mohs surgeons' fallibility is an important topic to explore. There are no studies on the role of cognitive biases in heuristic decision-making within Mohs micrographic surgery (MMS) as a contributing factor in mistakes or errors of clinical judgement. We reviewed established cognitive biases applied to heuristics during the pre-operative, intraoperative and reconstruction stages of MMS, and recommend conscious cognitive bias mitigating strategies for Mohs surgeons. Clinical errors/incidents may be reframed as opportunities to learn and develop, rather than evidence of competency or status. These experiences offer the opportunity to sharpen skills within metacognition and allow for more cognizant Mohs surgeons. We highly recommend all Mohs surgeons develop in-depth knowledge and maintain awareness of cognitive biases throughout clinical practice, to enhance clinical performance.

AB - Mohs surgeons' fallibility is an important topic to explore. There are no studies on the role of cognitive biases in heuristic decision-making within Mohs micrographic surgery (MMS) as a contributing factor in mistakes or errors of clinical judgement. We reviewed established cognitive biases applied to heuristics during the pre-operative, intraoperative and reconstruction stages of MMS, and recommend conscious cognitive bias mitigating strategies for Mohs surgeons. Clinical errors/incidents may be reframed as opportunities to learn and develop, rather than evidence of competency or status. These experiences offer the opportunity to sharpen skills within metacognition and allow for more cognizant Mohs surgeons. We highly recommend all Mohs surgeons develop in-depth knowledge and maintain awareness of cognitive biases throughout clinical practice, to enhance clinical performance.

UR - https://www.scopus.com/pages/publications/85211107048

U2 - 10.1002/ski2.466

DO - 10.1002/ski2.466

M3 - Review article

C2 - 39624741

AN - SCOPUS:85211107048

SN - 2690-442X

VL - 4

JO - Skin health and disease

JF - Skin health and disease

IS - 6

M1 - e466

ER -

Cognitive biases in Mohs micrographic surgery

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this