Training in statistical analysis reduces the framing effect among medical students and residents in Argentina

Purpose The framing effect refers to a phenomenon wherein, when the same problem is presented using different representations of information, people make significant changes in their decisions. This study aimed to explore whether the framing effect could be reduced in medical students and residents...

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Main Authors: Raúl Alfredo Borracci, Eduardo Benigno Arribalzaga, Jorge Thierer
Format: Article
Language:English
Published: Korea Health Personnel Licensing Examination Institute 2020-09-01
Series:Journal of Educational Evaluation for Health Professions
Subjects:
Online Access:http://www.jeehp.org/upload/jeehp-17-25.pdf
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author Raúl Alfredo Borracci
Eduardo Benigno Arribalzaga
Jorge Thierer
author_facet Raúl Alfredo Borracci
Eduardo Benigno Arribalzaga
Jorge Thierer
author_sort Raúl Alfredo Borracci
collection DOAJ
description Purpose The framing effect refers to a phenomenon wherein, when the same problem is presented using different representations of information, people make significant changes in their decisions. This study aimed to explore whether the framing effect could be reduced in medical students and residents by teaching them the statistical concepts of effect size, probability, and sampling for use in the medical decision-making process. Methods Ninety-five second-year medical students and 100 second-year medical residents of Austral University and Buenos Aires University, Argentina were invited to participate in the study between March and June 2017. A questionnaire was developed to assess the different types of framing effects in medical situations. After an initial administration of the survey, students and residents were taught statistical concepts including effect size, probability, and sampling during 2 individual independent official biostatistics courses. After these interventions, the same questionnaire was randomly administered again, and pre- and post-intervention outcomes were compared among students and residents. Results Almost every type of framing effect was reproduced either in the students or in the residents. After teaching medical students and residents the analytical process behind statistical concepts, a significant reduction in sample-size, risky-choice, pseudo-certainty, number-size, attribute, goal, and probabilistic formulation framing effects was observed. Conclusion The decision-making of medical students and residents in simulated medical situations may be affected by different frame descriptions, and these framing effects can be partially reduced by training individuals in probability analysis and statistical sampling methods.
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spelling doaj.art-9cd82fc61b2b49ceb830ebb6d088d8512023-08-02T03:27:55ZengKorea Health Personnel Licensing Examination InstituteJournal of Educational Evaluation for Health Professions1975-59372020-09-011710.3352/jeehp.2020.17.25373Training in statistical analysis reduces the framing effect among medical students and residents in ArgentinaRaúl Alfredo Borracci0Eduardo Benigno Arribalzaga1Jorge Thierer2Biostatistics, School of Medicine, Austral University, Buenos Aires, ArgentinaBiostatistics, School of Medicine, Austral University, Buenos Aires, ArgentinaSchool of Medicine, Buenos Aires University, Buenos Aires, ArgentinaPurpose The framing effect refers to a phenomenon wherein, when the same problem is presented using different representations of information, people make significant changes in their decisions. This study aimed to explore whether the framing effect could be reduced in medical students and residents by teaching them the statistical concepts of effect size, probability, and sampling for use in the medical decision-making process. Methods Ninety-five second-year medical students and 100 second-year medical residents of Austral University and Buenos Aires University, Argentina were invited to participate in the study between March and June 2017. A questionnaire was developed to assess the different types of framing effects in medical situations. After an initial administration of the survey, students and residents were taught statistical concepts including effect size, probability, and sampling during 2 individual independent official biostatistics courses. After these interventions, the same questionnaire was randomly administered again, and pre- and post-intervention outcomes were compared among students and residents. Results Almost every type of framing effect was reproduced either in the students or in the residents. After teaching medical students and residents the analytical process behind statistical concepts, a significant reduction in sample-size, risky-choice, pseudo-certainty, number-size, attribute, goal, and probabilistic formulation framing effects was observed. Conclusion The decision-making of medical students and residents in simulated medical situations may be affected by different frame descriptions, and these framing effects can be partially reduced by training individuals in probability analysis and statistical sampling methods.http://www.jeehp.org/upload/jeehp-17-25.pdfbiostatisticsbiometryclinical decision-makinginternship and residencymedical studentsargentina
spellingShingle Raúl Alfredo Borracci
Eduardo Benigno Arribalzaga
Jorge Thierer
Training in statistical analysis reduces the framing effect among medical students and residents in Argentina
Journal of Educational Evaluation for Health Professions
biostatistics
biometry
clinical decision-making
internship and residency
medical students
argentina
title Training in statistical analysis reduces the framing effect among medical students and residents in Argentina
title_full Training in statistical analysis reduces the framing effect among medical students and residents in Argentina
title_fullStr Training in statistical analysis reduces the framing effect among medical students and residents in Argentina
title_full_unstemmed Training in statistical analysis reduces the framing effect among medical students and residents in Argentina
title_short Training in statistical analysis reduces the framing effect among medical students and residents in Argentina
title_sort training in statistical analysis reduces the framing effect among medical students and residents in argentina
topic biostatistics
biometry
clinical decision-making
internship and residency
medical students
argentina
url http://www.jeehp.org/upload/jeehp-17-25.pdf
work_keys_str_mv AT raulalfredoborracci traininginstatisticalanalysisreducestheframingeffectamongmedicalstudentsandresidentsinargentina
AT eduardobenignoarribalzaga traininginstatisticalanalysisreducestheframingeffectamongmedicalstudentsandresidentsinargentina
AT jorgethierer traininginstatisticalanalysisreducestheframingeffectamongmedicalstudentsandresidentsinargentina