#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Janet Thomas @JanetThomas47 [REDACTED USER] I'm in the background tonight from a dreich Edinburgh making sure you all remember to use the hashtag :) #physiotalk |
| Janet Thomas @JanetThomas47 [REDACTED USER] [REDACTED USER] Do you get a lot like that? I do remember many many years ago that was the norm mind... #physiotalk |
 | Zachary Walston @zachwalston [REDACTED USER] [REDACTED USER] I like the mindset of Charlie Munger: “I never allow myself to hold an opinion on anything that I don't know the other side's argument better than they do” #physiotalk |
| Zachary Walston @zachwalston #physiotalk One of my favorite quotes that I often refer to is from the book, how not to be wrong: the power of mathematical thinking. The author, Jordan Ellenberg writes, “When you’re working hard on a theorem you should try to prove it by day and disprove it by night.” |
| Zachary Walston @zachwalston He is a mathematician, so theorems are his game, but the same concept anywhere. The best way to combat a confirmation bias is to try proving yourself wrong. I experience the most clinical growth when I research the opposite side of my current treatment approach. #physiotalk |
| Zachary Walston @zachwalston If you use dry needling, research all the reasons why you shouldn’t and try to convince yourself. If you can’t, great, you now understand the technique better. If you end up convincing yourself, drop the tool. No tool is undroppable. #physiotalk |
| Zachary Walston @zachwalston @JanetThomas47 [REDACTED USER] [REDACTED USER] Confirmation bias is still one of the primary biases I see in the clinic. It can worsen with experience as inuition and anecdotal experience takes center stage #physiotalk |
| Zachary Walston @zachwalston @_lewadam [REDACTED USER] [REDACTED USER] This is also a representative heuristic. Sometimes heuristics are beneficial but they can caused us to make decisions prematurely and miss information. Satisfaction of search is an issue to be wary of. #physiotalk |
| Janet Thomas @JanetThomas47 @zachwalston [REDACTED USER] [REDACTED USER] Do you think we are more prone to bias when we use pattern recognition model of clinical reasoning perhaps? #physiotalk |
| Zachary Walston @zachwalston [REDACTED USER] @Daleyfurter Type/system 1 is a our fast, inutitive, bias/heuristic driven thinking while type/system 2 is our slow critical thinking process #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter [REDACTED USER] https://t.co/14dFjc38Y6 #physiotalk |
| Janet Thomas @JanetThomas47 @GraemeGpt [REDACTED USER] I think we all know that feeling! #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter [REDACTED USER] Scientific curiosity is one of the most powerful traits an clinician can possess. #physiotalk. |
| Zachary Walston @zachwalston @GraemeGpt [REDACTED USER] Ha, very true. It's amazing how after someone gets certified in dry needling, everyone is a prime candidate. #physiotalk |
 | @SoMe4MV @some4mv RT [REDACTED USER]: 🤔 Can we diagnose asynchronies through the excursion of the diaphragm? #physiotalk #Fisioterapia #fisioterpaeutas #POCUS #LUS #some4mv [REDACTED USER] @POCUSAcademy @Pocus101 [REDACTED USER] https://t.co/0ewrICj6ag |
| Janet Thomas @JanetThomas47 @_lewadam [REDACTED USER] Me too - is that a bias or a good thing? I'm sure all of my older patients benefit from exercise and movement - don't they????!!! #physiotalk |
| Zachary Walston @zachwalston #physiotalk Most common biases I see are the sunk-cost fallacy and availability heuristic. The culture of our practice, the training available, courses we attend, the school we graduated from influence our thinking . Sunk-cost amplifies our commitment to the past investments. |
| Zachary Walston @zachwalston @Daleyfurter [REDACTED USER] It's interesting how some have an overconfidence bias while others experience the opposite. I have seen clinicians fearful to act and display a type of loss aversion (I knew I shouldn't have tried that new technique) when confidence is low. #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter Absolutely. But sunk-cost can be investment in time and effort as well. We may be resistant to abandon a technique or mindset because of past investment. #physiotalk |
| Janet Thomas @JanetThomas47 @zachwalston @Daleyfurter Yes - we don't have UG fees for our home students on Scotland, but if you have personally paid for a course then I'm sure that has an effect! #physiotalk |
| Zachary Walston @zachwalston #physiotalk “A rational decision maker is interested only in the future consequences of current investments. Justifying earlier mistakes is not among the Econ’s concerns.” – Daniel Kahneman in Thinking, Fast and Slow Thoughts on the sunk-cost fallacy. Substitute physio for econ |
| Janet Thomas @JanetThomas47 [REDACTED USER] I'm getting tortured in my thinking here. How do I know its them with the bias and not me.... #physiotalk |
| Zachary Walston @zachwalston @JanetThomas47 [REDACTED USER] We all are prone to bias. I think it is better to focus on yourself rather than others. That actually plays into the third question #physiotalk |
| Janet Thomas @JanetThomas47 [REDACTED USER] @zachwalston [REDACTED USER] Good question! I think it probably is the same bias deep down #physiotalk |
| Zachary Walston @zachwalston [REDACTED USER] [REDACTED USER] It is absolutely a part of it. Sunk-cost is not exclusively financial cost. Time and effort are large components. Learn from the past but focus your actions on the future. #physiotalk |
| Janet Thomas @JanetThomas47 [REDACTED USER] [REDACTED USER] Def not confrontational - professional discussion in an open manner best I think #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter [REDACTED USER] [REDACTED USER] I recall being chief of "mount stupid" as a resident... #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter [REDACTED USER] [REDACTED USER] And then the first patient I hurt knocked me straight into the valley of dispair. The joys of residency. #physiotalk |
| Janet Thomas @JanetThomas47 @Daleyfurter @zachwalston Its very different world wide - I see that with my @IPTOPphysio role I do think there are more similarities than differences though overall #physiotalk |
| Zachary Walston @zachwalston [REDACTED USER] I struggle with this sometimes. Fact punching doesn’t work. Some people view bias and heuristics as theoretical. They only want hard numbers. Another response is digging heals in. I find the best strategy is to seek understanding and ask more questions. #physiotalk |
| Zachary Walston @zachwalston [REDACTED USER] @JanetThomas47 [REDACTED USER] Agree on both. Simply pointing out a bias doesn’t necessarily work as it can still come across as an attack. It can give the impression that you are more intelligent by bringing psychology and metacognition into the conversation. #physiotalk |
| Janet Thomas @JanetThomas47 [REDACTED USER] [REDACTED USER] We had a great post placement sessions at [REDACTED USER] using case discussions in a fishbowl discussion to allow all to participate #physiotalk |
| Zachary Walston @zachwalston [REDACTED USER] Without doubt and uncertainty, we stop asking questions. Heuristics are valuable tools, but they need to be constantly updated and we need to recognize the potential for errors. (system 1 vs. system 2 thinking). #physiotalk |
| Janet Thomas @JanetThomas47 @zachwalston [REDACTED USER] [REDACTED USER] Don't bring metacognition into it :) #physiotalk https://t.co/7DYnYwyxqf |
| Zachary Walston @zachwalston @PhysioDarragh [REDACTED USER] [REDACTED USER] @Daleyfurter It is the most influential book I have every read. I cannot recommend it enough. Another great one is How not to be wrong: the power of mathematical thinking. Superforcasting, how doctors think, your medical mind,and antifragile have influenced my practice too #physiotalk |
| Zachary Walston @zachwalston @S0uthernUpN0rth [REDACTED USER] I think that can absolutely help. A primary challenge is the frequency of education. A single in-service or lecture is just the start. This needs to be a continuous conversation and the foundation of learning and applying information in clinical practice. #physiotalk |
| Zachary Walston @zachwalston @_lewadam [REDACTED USER] [REDACTED USER] Absolutely. There is so much value to be gained by learning from the perspectives of others. #physiotalk |
| Janet Thomas @JanetThomas47 [REDACTED USER] There is always trial and error! #physiotalk |
| Zachary Walston @zachwalston [REDACTED USER] Mental short-cuts in general allow us to more rapidly assess clinical situations. The key is taking the time to activate system two and reflect when able. Additionally, practicing recognizing biases can help us navigate cognitive traps more effectively. #physiotalk |
| Zachary Walston @zachwalston [REDACTED USER] @_lewadam [REDACTED USER] The perspectives can also provide the "art" portion of the art-science balancing act that is treatment. Trials and basic science provide a foundation for treatment efficacy, but experience, perspective, values, etc. allow us to develop tailored, patient-centric care #physiotalk |
| Zachary Walston @zachwalston #physiotalk @Daleyfurter came prepared! |
| Zachary Walston @zachwalston @Daleyfurter [REDACTED USER] Let me know when it is published. It will jump to the top of the stack. #physiotalk |
| Zachary Walston @zachwalston [REDACTED USER] @Daleyfurter Thank you [REDACTED USER]. I agree, I feel fortunate to have had @Daleyfurter on the #physiotalk. This hour flew by and I enjoyed it. |
| Janet Thomas @JanetThomas47 [REDACTED USER] Fascinating topic tonight. One to really broaden your thinking and examine your own biases. Thank you @zachwalston #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter [REDACTED USER] I completely agree. Let's find time to connect. It is great to see the contributions you have made in this area. #physiotalk |
| Zachary Walston @zachwalston @JanetThomas47 [REDACTED USER] Thank you @JanetThomas47 for the feedback and thank you [REDACTED USER] for the opportunity. This was a great discussion and I am thrilled to see so many people interested in it. #physiotalk |
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