shminux comments on Learning critical thinking: a personal example - Less Wrong

37 Post author: Swimmer963 14 February 2013 08:43PM

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Comment author: Antisuji 15 February 2013 10:01:15PM *  17 points [-]

Me: “Our patient’s blood pressure dropped a bit.”

Her: “Yeah, it did. What do you want to do about it?”

Me: “I, uh, I don’t know... Should I increase the vasopressors?”

[...]

This conversation sounds like a textbook example of guessing the teacher's password and it sounds like your preceptor is trying to tell you that the role you are taking — that of the student who is trying to figure out the "right" answer, which the teacher knows but is withholding — is inappropriate to the situation. Obviously this is not my domain of expertise, but I would suggest that any time you want to ask a "should I" question, you should instead be saying something like "I'm going to increase the vasopressors. Does that sound reasonable?" As you become more confident in your decisions you can leave off the second part.

Comment author: Swimmer963 15 February 2013 10:42:54PM *  8 points [-]

Obviously this is not my domain of expertise, but I would suggest that any time you want to ask a "should I" question, you should instead be saying something like "I'm going to increase the vasopressors. Does that sound reasonable?"

This is exactly what she's explicitly told me I need to be doing!

I hadn't really thought of it as an example of "guessing the teacher's password", but I do know that I feel very uncomfortable applying my own judgement to real-life situations. Even though, if I saw that situation in the form of a written exam question, I wouldn't think it was very complicated or difficult. It's like part of me assumes that real life always has 10 million hidden variables that mean the obvious answer is never right...

Comment author: shminux 15 February 2013 11:01:25PM 17 points [-]

if I saw that situation in the form of a written exam question, I wouldn't think it was very complicated or difficult.

This seems like a symptom of discrepancy between your belief (I know the right thing to do in this situation) and your alief (I am not qualified/experienced enough to know the right thing to do in this situation). Sort of like walking on a narrow ledge 3 feet off the ground vs walking on a narrow ledge 300 feet off the ground. I wonder if there are exercises to work explicitly on aligning one's alief with one's belief. Maybe jimmy can chime in.

Comment author: Swimmer963 15 February 2013 11:54:43PM 8 points [-]

That is so much more helpful than "you need to work on your confidence"!

Comment author: MBlume 05 May 2013 07:46:26AM 5 points [-]

Er, walking on a narrow ledge 300 feet off the ground is still a bad idea because, y'know even with something simple like walking, sometimes you roll a natural 1 and trip.