Evaluating the Decision-Making Proficiency Among Medical Residents at Tehran University of Medical Sciences in the Year 2022-2023: A Descriptive Cross-Sectional Study

Alireza Montaseri; Hamidreza Amiri; Babak Eslami; Maryam Parnian; . Ridda

doi:10.18502/aacc.v10i4.16264

Alireza Montaseri Department of Anesthesiology and Critical Care, Imam Khomeini Hospital, Tehran University of Medical Sciences,Tehran, Iran.
Hamidreza Amiri Department of Anesthesiology and Critical Care, Imam Khomeini Hospital, Tehran University of Medical Sciences,Tehran, Iran.
Babak Eslami Department of Anesthesiology and Critical Care, Imam Khomeini Hospital, Tehran University of Medical Sciences,Tehran, Iran.
Maryam Parnian Department of Anesthesiology and Critical Care, Imam Khomeini Hospital, Tehran University of Medical Sciences,Tehran, Iran.
. Ridda Department of Anesthesiology and Critical Care, Imam Khomeini Hospital, Tehran University of Medical Sciences,Tehran, Iran.

DOI: https://doi.org/10.18502/aacc.v10i4.16264

Keywords: Decision making proficiency; Common biases; Physicians; Health care system

Abstract

Background: To evaluate the decision-making proficiency among medical residents at Tehran University of Medical Sciences in the year 2022-2023.

Methods: A structured online web-survey via national approved services Author’s designed questionnaire was used to collect the relative data based on variables of the study and was developed by the authors of the study by reviewing the previously conducted studies. The forms were sent to the medical residents at Tehran University of Medical Sciences as a link via electronic mail and social media; assistance was offered via direct or indirect contact upon request.

Results: In this study, 88 medical residents of Tehran University of Medical Sciences were evaluated. Out of 88 participants, the frequency of females was 52(59.09%) and frequency of males was found out to be 36(40.91%). The frequency of the first- year residents was 28(37.50), second year residents was 33(21.59), third year residents was 19(9.09) and the fourth- year residents was found out to be 8(31.82). The frequency of different specialties were: Pathology 1(1.14%), Infectious diseases 1(1.14%), Cardio vascular diseases 1(1.14%), Emergency medicine 1(1.14%), Orthopedics2(2.27%), Psychiatry 3(3.41%), ENT 12(13.64%), Internal Medicine 13(14.77%), Pediatrics13(14.77%), OB&GYN 19(21.59%), Anesthesiology19(21.59%), Dermatology 2(2.27%), General Surgery 1(1.14%).

Conclusion: There is a significant relationship based on linear regression between not having self - reported availability bias and surgical residency specialties. The surgical specialty is less prone to the availability bias. A difference of communication exists between the surgical and nonsurgical speciality and the nonsurgical specialties need to confirm their decision using other methods to prevent the patient harm.