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This content will become publicly available on June 10, 2026

Title: Using Markov Chains to Understand Clinical Decision-Making Process
Clinical reasoning is a critical yet complex cognitive process of diagnostic and therapeutic decision-making in medical practice that has long challenged precise understanding and assessment. Sequential analysis can be used to uncover patterns and trends in clinical practices, contributing to improved training and ultimately leading to better patient care outcomes. In this study, 21 board-certified anesthesiologists participated in a simulated-based learning scenario requiring them to promptly recognize patient’s condition and initiate appropriate treatment. They were assigned into either the low-performing or high-performing group based on their performance. We utilized Markov Chain Transition Matrix, a robust statistical model for sequential data, to analyze participants’ practices using team reflection behavioral observation system and identified statistically significant differences between their transition matrices. The high-performing group had a much higher transition probability from evaluating information to implementation and from planning to planning. The implications are then discussed.  more » « less
Award ID(s):
2202451
PAR ID:
10603866
Author(s) / Creator(s):
;
Editor(s):
Oshima, J; Chen, B; Vogel, F; Järvelä, J
Publisher / Repository:
Proceedings of the 18th International Conference on Computer-Supported Collaborative Learning - CSCL 2025. Helsinki, Finland: International Society of the Learning Sciences.
Date Published:
Journal Name:
Computersupported collaborative learning
ISSN:
2543-0157
ISBN:
979-8-9906980-4-8
Format(s):
Medium: X
Location:
Helsinki, Finland
Sponsoring Org:
National Science Foundation
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