Notes for Clinical Biases in Diagnosis - IB | RevisionDojo
Clinical Biases in Diagnosis Notes
Definition
Clinical Biases
Refer to systematic deviations in diagnosis caused by factors like clinician or patient characteristics.
Types of Bias
Clinician Variables:
Influenced by the clinician’s training and attitudes.
Clinicians may be subject to confirmation bias once they have an initial diagnosis and may overlook important symptoms.
Example: A psychoanalytically trained clinician might overemphasize childhood experiences.
Patient Variables:
Characteristics like gender or ethnicity may influence symptom reporting.
Patients may either overemphasize symptoms or underemphasize them based on their goals.
Example: Somatization in some cultures can lead to misdiagnosis.
Cultural Factors:
Cultural differences in symptom expression and stigma around mental health.
There exists the idea of culture bound syndromes, e.g. shenjian shuairuo (China).
Symptoms of the same disorder also present differently across cultures.
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Questions
Recap questions
1 of 5
Question 1
Recap question
Which bias best explains why early impressions disproportionately shape the rest of a clinician’s diagnostic evaluation, even when contradictory evidence emerges?
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Note
Clinical biases are systematic deviations in diagnosis caused by factors like clinician or patient characteristics.
These biases can lead to misdiagnosis and inappropriate treatment, which can have serious consequences for patient care.
For example, a clinician's personal beliefs or a patient's cultural background can influence how symptoms are interpreted, potentially leading to errors in diagnosis.
ExampleA clinician might misinterpret a patient's reluctance to make eye contact as a sign of depression, when in fact it could be a cultural norm.DefinitionClinical BiasesSystematic deviations in diagnosis caused by factors such as clinician characteristics, patient variables, or cultural influences.NoteClinical biases are not always intentional but can still significantly impact the quality of care provided.
