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Journal Article

Blink or think: can further reflection improve initial diagnostic impressions?

Hess BJ, Lipner RS, Thompson V, et al. Acad Med. 2015;90(1):112-118.

This direct observation study examined cognition among experienced clinicians in the setting of their recertification examination and found that when they changed answers, it was usually from an incorrect to a correct response. This suggests that further reflection enhances accuracy compared to intuitive response, consistent with work on metacognition to enhance diagnostic accuracy.