Gender differences in how physicians access and process information

There is an absence of information on how physicians make surgical decisions, and on the effect of gender on the processing of information. A novel web based decision-matrix software was designed to trace experimentally the process of decision making in medical situations. The scenarios included a c...

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Main Authors: R. Gotlieb, J. Abitbol, J.A. How, I. Ben-Brith, H.A. Abenhaim, S.K. Lau, M. Basik, Z. Rosberger, N. Geva, W.H. Gotlieb, A. Mintz
Format: Article
Language:English
Published: Elsevier 2019-02-01
Series:Gynecologic Oncology Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S235257891830119X
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spelling doaj-11315072e6d24415a5fa619c2c7aeac72020-11-25T00:10:49ZengElsevierGynecologic Oncology Reports2352-57892019-02-01275053Gender differences in how physicians access and process informationR. Gotlieb0J. Abitbol1J.A. How2I. Ben-Brith3H.A. Abenhaim4S.K. Lau5M. Basik6Z. Rosberger7N. Geva8W.H. Gotlieb9A. Mintz10Division of Experimental Surgery, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Division of Gynecologic Oncology, Segal Cancer Center, Jewish General Hospital, McGill University, CanadaDivision of Gynecologic Oncology, Segal Cancer Center, Jewish General Hospital, McGill University, Canada; Lady Davis Research Institute, Segal Cancer Center, McGill University, Montreal, Quebec, CanadaDivision of Gynecologic Oncology, Segal Cancer Center, Jewish General Hospital, McGill University, Canada; Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, CanadaDivision of Gynecologic Oncology, Segal Cancer Center, Jewish General Hospital, McGill University, CanadaDivision of Experimental Surgery, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, CanadaDivision of Gynecologic Oncology, Segal Cancer Center, Jewish General Hospital, McGill University, Canada; Lady Davis Research Institute, Segal Cancer Center, McGill University, Montreal, Quebec, CanadaDivision of Experimental Surgery, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Department of General Surgery, McGill University, Montreal, QC H3T 1E2, CanadaPsychology Division, Department of Psychiatry, Sir Mortimer B. Davis-Jewish General Hospital, CanadaDepartment of Political Science, Texas A&M University, USADivision of Experimental Surgery, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Division of Gynecologic Oncology, Segal Cancer Center, Jewish General Hospital, McGill University, Canada; Corresponding author at: Division of Gynecologic Oncology, McGill University SMBD Jewish General Hospital, 3755 Chemin de la Cote-Ste-Catherine, Montreal, QC, H3T 1E2, Canada.Lauder School of Government, Diplomacy and Strategy, IDC, IsraelThere is an absence of information on how physicians make surgical decisions, and on the effect of gender on the processing of information. A novel web based decision-matrix software was designed to trace experimentally the process of decision making in medical situations. The scenarios included a crisis and non-crisis simulation for endometrial cancer surgery. Gynecologic oncologists, fellows, and residents (42 male and 42 female) in Canada participated in this experiment. Overall, male physicians used more heuristics, whereas female physicians were more comprehensive in accessing clinical information (p < 0.03), utilized alternative-based acquisition processes in the non-crisis scenario (p = 0.01), were less likely to consider procedure-related costs (p = 0.04), and overall allocated more time to evaluate the information (p < 0.01). Further experiments leading to a better understanding of the cognitive processes involved in medical decision making could influence education and training and impact on patient outcome. Keywords: Decision-making, Simulation, Gender, Cognitive analysishttp://www.sciencedirect.com/science/article/pii/S235257891830119X
collection DOAJ
language English
format Article
sources DOAJ
author R. Gotlieb
J. Abitbol
J.A. How
I. Ben-Brith
H.A. Abenhaim
S.K. Lau
M. Basik
Z. Rosberger
N. Geva
W.H. Gotlieb
A. Mintz
spellingShingle R. Gotlieb
J. Abitbol
J.A. How
I. Ben-Brith
H.A. Abenhaim
S.K. Lau
M. Basik
Z. Rosberger
N. Geva
W.H. Gotlieb
A. Mintz
Gender differences in how physicians access and process information
Gynecologic Oncology Reports
author_facet R. Gotlieb
J. Abitbol
J.A. How
I. Ben-Brith
H.A. Abenhaim
S.K. Lau
M. Basik
Z. Rosberger
N. Geva
W.H. Gotlieb
A. Mintz
author_sort R. Gotlieb
title Gender differences in how physicians access and process information
title_short Gender differences in how physicians access and process information
title_full Gender differences in how physicians access and process information
title_fullStr Gender differences in how physicians access and process information
title_full_unstemmed Gender differences in how physicians access and process information
title_sort gender differences in how physicians access and process information
publisher Elsevier
series Gynecologic Oncology Reports
issn 2352-5789
publishDate 2019-02-01
description There is an absence of information on how physicians make surgical decisions, and on the effect of gender on the processing of information. A novel web based decision-matrix software was designed to trace experimentally the process of decision making in medical situations. The scenarios included a crisis and non-crisis simulation for endometrial cancer surgery. Gynecologic oncologists, fellows, and residents (42 male and 42 female) in Canada participated in this experiment. Overall, male physicians used more heuristics, whereas female physicians were more comprehensive in accessing clinical information (p < 0.03), utilized alternative-based acquisition processes in the non-crisis scenario (p = 0.01), were less likely to consider procedure-related costs (p = 0.04), and overall allocated more time to evaluate the information (p < 0.01). Further experiments leading to a better understanding of the cognitive processes involved in medical decision making could influence education and training and impact on patient outcome. Keywords: Decision-making, Simulation, Gender, Cognitive analysis
url http://www.sciencedirect.com/science/article/pii/S235257891830119X
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