Marino Festa

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OBJECTIVE The authors describe the development of a new, more objective method of distinguishing experienced competent nonexpert from expert practitioners within pediatric intensive care. BACKGROUND Expert performance involves the acquisition and use of refined feature-event associations (cues) in the operational environment. Competent non-experts,(More)
AIMS To assess the impact of two paediatric intensive care unit retrieval teams on the performance of three mortality risk scoring systems: pre-ICU PRISM, PIM, and PRISM II. METHODS A total of 928 critically ill children retrieved for intensive care from district general hospitals in the south east of England (crude mortality 7.8%) were studied. RESULTS(More)
The aim of this study was to examine the information acquisition strategies of expert and competent non-expert intensive care physicians during two simulated diagnostic scenarios involving respiratory distress in an infant. Specifically, the information acquisition performance of six experts and 12 competent non-experts was examined using an eye-tracker(More)
Medical expertise is typically denoted on the basis of experience, but this approach appears to lack validity and reliability. The present study investigated an innovative assessment of diagnostic expertise in medicine. This approach was developed from evidence that expert performance develops following the acquisition of cue associations in memory, which(More)
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