{"id":20887,"date":"2026-01-07T07:00:32","date_gmt":"2026-01-07T12:00:32","guid":{"rendered":"https:\/\/rebelem.com\/?p=20887"},"modified":"2026-01-12T20:16:09","modified_gmt":"2026-01-13T01:16:09","slug":"dunningkruger","status":"publish","type":"post","link":"https:\/\/rebelem.com\/dunningkruger\/","title":{"rendered":"REBEL MIND &#8211; The Dunning Kruger Effect: Why Looking Inward Improves Patient Care"},"content":{"rendered":"<div class=\"rebel-before-content rebel-entity-placement\" style=\"text-align: center;\" id=\"rebel-2796926198\"><div id=\"rebel-1150842763\"><a data-no-instant=\"1\" href=\"https:\/\/www.resusx.com\/a\/2148244248\/LjX3KmwE\" rel=\"noopener\" class=\"a2t-link\" target=\"_blank\" aria-label=\"Rebel Ads-6\"><img src=\"https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2026\/02\/Rebel-Ads-6.png?fit=1250%2C150&#038;ssl=1\" alt=\"\"  srcset=\"https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2026\/02\/Rebel-Ads-6.png?w=1250&ssl=1 1250w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2026\/02\/Rebel-Ads-6.png?resize=300%2C36&ssl=1 300w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2026\/02\/Rebel-Ads-6.png?resize=1024%2C123&ssl=1 1024w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2026\/02\/Rebel-Ads-6.png?resize=768%2C92&ssl=1 768w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2026\/02\/Rebel-Ads-6.png?resize=600%2C72&ssl=1 600w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" class=\"no-lazyload\" width=\"1250\" height=\"150\"   \/><\/a><\/div><\/div>\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"20887\" class=\"elementor elementor-20887\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-59db4468 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"59db4468\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-39ceeb26\" data-id=\"39ceeb26\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4238090a elementor-widget elementor-widget-global elementor-global-20568 elementor-widget-pp-table-of-contents\" data-id=\"4238090a\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h4&quot;],&quot;exclude_headings_by_selector&quot;:&quot;.exclude-from-toc&quot;,&quot;marker_view&quot;:&quot;none&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;minimized_on&quot;:[&quot;mobile&quot;,&quot;tablet&quot;,&quot;desktop&quot;],&quot;scroll_offset&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:100,&quot;sizes&quot;:[]},&quot;minimize_box&quot;:&quot;yes&quot;,&quot;scroll_offset_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;scroll_offset_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"pp-table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div id=\"pp-toc-4238090a\" class=\"pp-toc\">\n\t\t\t<div class=\"pp-toc__header\" aria-controls=\"pp-toc__body\">\n\t\t\t\t<div class=\"pp-toc__header-title-wrapper\">\n\t\t\t\t\t<h2 class=\"pp-toc__header-title\">\n\t\t\t\t\t\t\ud83e\udded REBEL Rundown\t\t\t\t\t<\/h2>\n\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t<div class=\"pp-toc__toggle-button pp-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-label=\"Open table of contents\"><i aria-hidden=\"true\" class=\"fas fa-caret-square-down\"><\/i><\/div>\n\t\t\t\t\t<div class=\"pp-toc__toggle-button pp-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-label=\"Close table of contents\"><i aria-hidden=\"true\" class=\"fas fa-caret-square-up\"><\/i><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"pp-toc__body\" aria-expanded=\"true\">\n\t\t\t\t<div class=\"pp-toc__spinner-container\">\n\t\t\t\t\t<i class=\"pp-toc__spinner eicon-loading eicon-animation-spin\" aria-hidden=\"true\"><\/i>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4bcd4649 elementor-widget elementor-widget-heading\" data-id=\"4bcd4649\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\ud83d\udccc Key Points<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-48920a18 elementor-widget elementor-widget-text-editor\" data-id=\"48920a18\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\ud83e\udde0 <strong data-start=\"113\" data-end=\"150\">We don\u2019t know what we don\u2019t know:<\/strong> Low experience can inflate confidence; true expertise usually brings <em data-start=\"220\" data-end=\"228\">humble<\/em> certainty.<\/p><p>\ud83c\udfe5 <strong data-start=\"247\" data-end=\"277\">ED relevance is universal:<\/strong> From central lines to transvenous pacing, over- or under-confidence shows up at every level\u2014intern to seasoned attending.<\/p><p>\ud83e\udde9 <strong data-start=\"407\" data-end=\"433\">Metacognition matters:<\/strong> Accurate self-assessment is a clinical skill; reflection + feedback loops keep us calibrated.<\/p><p>\ud83d\udee0\ufe0f <strong data-start=\"536\" data-end=\"563\">Practice beats bravado:<\/strong> Skill decay is real; deliberate practice and HALO (high-acuity, low-occurrence) refreshers protect patients.<\/p><p>\ud83e\udd1d <strong data-start=\"680\" data-end=\"716\">Psychological safety \u2260 niceties:<\/strong> \u201cConfident humility\u201d enables questions, feedback, and better resuscitation decisions\u2014especially under uncertainty.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a8b219e elementor-widget elementor-widget-text-editor\" data-id=\"a8b219e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"text-align: center;\"><span style=\"font-size: 12pt;\"><div class=\"powerpress_player\" id=\"powerpress_player_9586\"><audio class=\"wp-audio-shortcode\" id=\"audio-20887-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/traffic.libsyn.com\/rebelcast\/MIND__Dunning_Kruger_Edited_and_Mastered.mp3?_=1\" \/><a href=\"https:\/\/traffic.libsyn.com\/rebelcast\/MIND__Dunning_Kruger_Edited_and_Mastered.mp3\">https:\/\/traffic.libsyn.com\/rebelcast\/MIND__Dunning_Kruger_Edited_and_Mastered.mp3<\/a><\/audio><\/div><\/span><\/h2><div><p style=\"text-align: center;\"><a href=\"https:\/\/traffic.libsyn.com\/rebelcast\/MIND__Dunning_Kruger_Edited_and_Mastered.mp3\" target=\"_blank\" rel=\"noopener\">Click here for Direct Download of the Podcast<\/a>.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad5fda7 elementor-widget elementor-widget-heading\" data-id=\"ad5fda7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\ud83d\udcdd Introduction<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5949cdf elementor-widget elementor-widget-text-editor\" data-id=\"5949cdf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Welcome to <strong data-start=\"878\" data-end=\"892\">REBEL MIND<\/strong>\u2014<strong data-start=\"893\" data-end=\"898\">M<\/strong>astering <strong data-start=\"907\" data-end=\"912\">I<\/strong>nternal <strong data-start=\"920\" data-end=\"925\">N<\/strong>egativity during <strong data-start=\"942\" data-end=\"947\">D<\/strong>ifficulty. In this series, we turn the same critical lens REBEL EM uses for literature <strong data-start=\"1034\" data-end=\"1044\">inward<\/strong>\u2014into mindset, leadership, and psychological safety\u2014so we can deliver better care <em data-start=\"1126\" data-end=\"1135\">outward<\/em> to patients and teams.<br \/><br data-start=\"1158\" data-end=\"1161\" \/>In this episode and blog post, hosts\u00a0<strong data-start=\"1180\" data-end=\"1194\">Mark Ramzy<\/strong> and\u00a0<strong data-start=\"1207\" data-end=\"1219\">Kim Bambach<\/strong>\u00a0(Assistant Professor of Emergency Medicine, The Ohio State University) explore a deceptively simple question: <em data-start=\"1330\" data-end=\"1381\">How accurately can we assess our own performance?<\/em> The answer hinges on a classic cognitive bias that touches all of us in emergency medicine.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-700bf2ef elementor-widget elementor-widget-heading\" data-id=\"700bf2ef\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\ud83e\uddfe Paper<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a35f99b elementor-widget elementor-widget-text-editor\" data-id=\"6a35f99b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-size: 16px;\">Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one&#8217;s own incompetence lead to inflated self-assessments. J Pers Soc Psychol. 1999 Dec;7 PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10626367\/\" target=\"_blank\" rel=\"noopener\">10626367<\/a><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-109e51c1 elementor-widget elementor-widget-heading\" data-id=\"109e51c1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><img decoding=\"async\" draggable=\"false\" role=\"img\" class=\"emoji\" alt=\"\ud83e\udd14\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1f914.svg\">Cognitive Question<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a8e86de elementor-widget elementor-widget-text-editor\" data-id=\"a8e86de\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em data-start=\"1330\" data-end=\"1381\">How accurately can we assess our own performance?<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b3c34d6 elementor-widget elementor-widget-heading\" data-id=\"6b3c34d6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\ud83d\udcad What is the Dunning-Kruger Effect?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60b753d6 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"60b753d6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"1520\" data-end=\"1576\">The <strong data-start=\"1524\" data-end=\"1549\">Dunning\u2013Kruger Effect<\/strong> is a cognitive bias where:<\/p><ul data-start=\"1577\" data-end=\"1716\"><li data-start=\"1577\" data-end=\"1653\"><p data-start=\"1579\" data-end=\"1653\"><strong data-start=\"1579\" data-end=\"1629\">Lower-skill individuals tend to <em data-start=\"1613\" data-end=\"1627\">overestimate<\/em><\/strong> their competence, and<\/p><\/li><li data-start=\"1654\" data-end=\"1716\"><p data-start=\"1656\" data-end=\"1716\"><strong data-start=\"1656\" data-end=\"1706\">Higher-skill individuals often <em data-start=\"1689\" data-end=\"1704\">underestimate<\/em><\/strong> theirs.<\/p><\/li><\/ul><p data-start=\"1718\" data-end=\"2117\">Translation for the busy clinician: early on the learning curve, confidence <strong data-start=\"1794\" data-end=\"1804\">spikes<\/strong> (\u201cMount Stupid\u201d) because we don\u2019t yet see the complexity. As experience accrues, confidence <strong data-start=\"1897\" data-end=\"1905\">dips<\/strong> (\u201cValley of Despair\u201d) with growing awareness, then <strong data-start=\"1957\" data-end=\"1966\">rises<\/strong> again\u2014grounded in nuance and humility.<br data-start=\"2005\" data-end=\"2008\" \/>Key insight: <strong data-start=\"2021\" data-end=\"2058\">True expertise \u2260 louder certainty<\/strong>; it\u2019s often quieter, more curious, and more collaborative.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-236490d0 elementor-widget elementor-widget-text-editor\" data-id=\"236490d0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><img fetchpriority=\"high\" decoding=\"async\" data-recalc-dims=\"1\" class=\"alignnone size-full wp-image-20900\" src=\"https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2025\/10\/REBEL-MIND-Dunning-Kruger-Curve-scaled.jpg?resize=1200%2C675&#038;ssl=1\" alt=\"\" width=\"1200\" height=\"675\" srcset=\"https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2025\/10\/REBEL-MIND-Dunning-Kruger-Curve-scaled.jpg?w=2560&amp;ssl=1 2560w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2025\/10\/REBEL-MIND-Dunning-Kruger-Curve-scaled.jpg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2025\/10\/REBEL-MIND-Dunning-Kruger-Curve-scaled.jpg?resize=1024%2C576&amp;ssl=1 1024w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2025\/10\/REBEL-MIND-Dunning-Kruger-Curve-scaled.jpg?resize=768%2C432&amp;ssl=1 768w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2025\/10\/REBEL-MIND-Dunning-Kruger-Curve-scaled.jpg?resize=1536%2C864&amp;ssl=1 1536w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2025\/10\/REBEL-MIND-Dunning-Kruger-Curve-scaled.jpg?resize=2048%2C1152&amp;ssl=1 2048w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2025\/10\/REBEL-MIND-Dunning-Kruger-Curve-scaled.jpg?resize=600%2C338&amp;ssl=1 600w, https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2025\/10\/REBEL-MIND-Dunning-Kruger-Curve-scaled.jpg?w=2400&amp;ssl=1 2400w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5bf29c9f elementor-widget elementor-widget-heading\" data-id=\"5bf29c9f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><img decoding=\"async\" draggable=\"false\" role=\"img\" class=\"emoji\" alt=\"\ud83c\udfe5\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1f3e5.svg\">How It Applies to the Emergency Department<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-24683aa elementor-widget elementor-widget-text-editor\" data-id=\"24683aa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li data-start=\"2170\" data-end=\"2389\"><p data-start=\"2172\" data-end=\"2389\"><strong data-start=\"2172\" data-end=\"2214\">Procedures (e.g., central lines, TVP):<\/strong> Watching a 5-minute video creates \u201cI got this\u201d energy\u2014until the wire won\u2019t pass, the patient thrashes, or you hit carotid. Competence includes <em data-start=\"2358\" data-end=\"2386\">troubleshooting in context<\/em>.<\/p><\/li><li data-start=\"2390\" data-end=\"2589\"><p data-start=\"2392\" data-end=\"2589\"><strong data-start=\"2392\" data-end=\"2422\">Skill Decay is Inevitable:<\/strong> If you haven\u2019t done a chest tube or a TVP in months, you\u2019re not as sharp as last time. Without deliberate refreshers, you drift <strong data-start=\"2551\" data-end=\"2560\">below<\/strong> the safe-performance line.<\/p><\/li><li data-start=\"2590\" data-end=\"2761\"><p data-start=\"2592\" data-end=\"2761\"><strong data-start=\"2592\" data-end=\"2626\">Everyone\u2019s a Novice Somewhere:<\/strong> New disease entities, evolving algorithms, new tools (POCUS, decision support) mean even attendings routinely re-enter novice zones.<\/p><\/li><li data-start=\"2762\" data-end=\"2971\"><p data-start=\"2764\" data-end=\"2971\"><strong data-start=\"2764\" data-end=\"2789\">Feedback Blind Spots:<\/strong> Lower performers can both overestimate their skills <strong data-start=\"2842\" data-end=\"2849\">and<\/strong> resist feedback\u2014while many high performers (particularly women, per discussed literature) <em data-start=\"2940\" data-end=\"2952\">undervalue<\/em> their abilities.<\/p><\/li><li data-start=\"2972\" data-end=\"3186\"><p data-start=\"2974\" data-end=\"3186\"><strong data-start=\"2974\" data-end=\"2998\">Culture is Clinical:<\/strong> The ED demands decisive action amid uncertainty. <strong data-start=\"3048\" data-end=\"3072\">Psychological safety<\/strong> + <strong data-start=\"3075\" data-end=\"3097\">confident humility<\/strong> lets teams surface alternative diagnoses, challenge momentum, and correct course <em data-start=\"3179\" data-end=\"3185\">fast<\/em>.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-436ae828 elementor-widget elementor-widget-heading\" data-id=\"436ae828\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u23e9Immediate Action Steps for Your Next Shift<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ad2222 elementor-widget elementor-widget-text-editor\" data-id=\"6ad2222\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ol><li data-start=\"3242\" data-end=\"3285\"><strong data-start=\"3242\" data-end=\"3283\">Run a 60-second debrief on two cases<br \/><\/strong><em data-start=\"3291\" data-end=\"3347\">What went well? What would I do differently next time?<\/em> <br \/>Write one improvement you\u2019ll test <em data-start=\"3382\" data-end=\"3389\">today<\/em>.<br \/><br \/><\/li><li data-start=\"3242\" data-end=\"3285\"><strong data-start=\"3396\" data-end=\"3438\">Play \u201cWhat if the opposite were true?\u201d<br \/><\/strong>Anchored on \u201clumbosacral strain\u201d, Ask, <em data-start=\"3485\" data-end=\"3522\">What if fever\/incontinence appears?<\/em> How does that change my path?<br \/><br \/><\/li><li data-start=\"3242\" data-end=\"3285\"><strong data-start=\"3558\" data-end=\"3590\">Solicit 360\u00b0 micro-feedback<br \/><\/strong>Ask a nurse, resident, and peer: <em data-start=\"3631\" data-end=\"3678\">\u201cOne thing I did well; one thing to improve.\u201d<\/em> Say \u201cthank you,\u201d not \u201cbut.\u201d<br \/><br \/><\/li><li data-start=\"3242\" data-end=\"3285\"><strong data-start=\"3712\" data-end=\"3752\">Schedule a HALO refresher this week<br \/><\/strong>Pick <strong data-start=\"3765\" data-end=\"3772\">one<\/strong> high-acuity, low-occurrence procedure (TVP, cric, thoracotomy). <br \/>Do a <strong data-start=\"3842\" data-end=\"3855\">10-minute<\/strong> mental model + equipment walk-through; book sim time if available.<br \/><br \/><\/li><li data-start=\"3242\" data-end=\"3285\"><strong data-start=\"3928\" data-end=\"3960\">Adopt a pre-procedure pause<br \/><\/strong><em data-start=\"3968\" data-end=\"3997\">If X goes wrong, I\u2019ll do Y.<\/em> <br \/>Name two likely failure modes (e.g., \u201cwire won\u2019t advance,\u201d \u201cdelirium\/agitation\u201d) and your first corrective step.<br \/><br \/><\/li><li data-start=\"3242\" data-end=\"3285\"><strong data-start=\"4116\" data-end=\"4144\">Language shift on shift<br \/><\/strong>Swap \u201cI\u2019m sure\u201d \u2192 \u201cI\u2019m <strong data-start=\"4175\" data-end=\"4199\">reasonably confident<\/strong>, here\u2019s my plan B.\u201d Invite input: <em data-start=\"4234\" data-end=\"4256\">\u201cWhat am I missing?\u201d<\/em><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ed90e3d elementor-widget elementor-widget-heading\" data-id=\"ed90e3d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><img decoding=\"async\" draggable=\"false\" role=\"img\" class=\"emoji\" alt=\"\ud83d\udcac\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1f4ac.svg\"> Conclusion<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-22e05d47 elementor-widget elementor-widget-text-editor\" data-id=\"22e05d47\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The Dunning\u2013Kruger Effect isn\u2019t a moral failing; it\u2019s a predictable human pattern that <strong data-start=\"4364\" data-end=\"4373\">every<\/strong> clinician rides\u2014often multiple times per day in the ED. The antidote is <strong data-start=\"4446\" data-end=\"4463\">metacognition<\/strong>: routine reflection, explicit debiasing, deliberate practice, and feedback within a psychologically safe culture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c50cc6f elementor-widget elementor-widget-heading\" data-id=\"c50cc6f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\ud83d\udea8 Clinical Bottom Line<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-66d60b65 elementor-widget elementor-widget-text-editor\" data-id=\"66d60b65\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong data-start=\"4580\" data-end=\"4616\">Competence is quiet and curious.<\/strong> The more we know, the more we recognize what we don\u2019t\u2014and the better we become at caring for patients and each other.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-658055d elementor-widget-divider--view-line_icon elementor-view-default elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"658055d\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon elementor-divider__element\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" width=\"643\" height=\"536\" viewBox=\"0 0 643 536\"><image id=\"rebelem-primary-color-square\" x=\"48\" y=\"38\" width=\"534\" height=\"464\" 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class=\"elementor-element elementor-element-8f4a479 exclude-from-toc elementor-widget elementor-widget-heading\" data-id=\"8f4a479\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><img decoding=\"async\" draggable=\"false\" role=\"img\" class=\"emoji\" alt=\"\ud83d\udcda\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1f4da.svg\"> Further Reading<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5dd81b67 elementor-widget elementor-widget-text-editor\" data-id=\"5dd81b67\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ol><li data-start=\"4762\" data-end=\"4860\">Dunning D, Kruger J. <em data-start=\"4783\" data-end=\"4812\">Unskilled and Unaware of It<\/em> (1999). Classic paper introducing the effect.<br \/><br \/><\/li><li data-start=\"4762\" data-end=\"4860\">Croskerry P. Cognitive forcing strategies in clinical decision-making.<br \/><br \/><\/li><li data-start=\"4762\" data-end=\"4860\">Kahneman D. <em data-start=\"4950\" data-end=\"4976\">Thinking, Fast and Slow.<\/em> Heuristics &amp; biases in high-stakes decisions.<br \/><br \/><\/li><li data-start=\"4762\" data-end=\"4860\">Ericsson KA. <em data-start=\"5040\" data-end=\"5090\">Peak: Secrets from the New Science of Expertise.<\/em> Deliberate practice &amp; skill acquisition.<br \/><br \/><\/li><li data-start=\"4762\" data-end=\"4860\">Edmondson AC. <em data-start=\"5150\" data-end=\"5178\">The Fearless Organization.<\/em> Psychological safety and learning culture in teams.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c1e1867 exclude-from-toc elementor-widget elementor-widget-heading\" data-id=\"5c1e1867\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><img decoding=\"async\" draggable=\"false\" role=\"img\" class=\"emoji\" alt=\"\ud83d\udc64\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1f464.svg\"> Meet the Authors<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-99753b3 elementor-widget__width-initial elementor-widget elementor-widget-pp-team-member-carousel\" data-id=\"99753b3\" data-element_type=\"widget\" data-widget_type=\"pp-team-member-carousel.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"swiper-container-wrap swiper-container-wrap-dots-outside\">\n\t\t\t<div class=\"pp-tm-wrapper pp-tm-carousel pp-swiper-slider swiper\" id=\"swiper-container-99753b3\" data-slider-settings=\"{&quot;direction&quot;:&quot;horizontal&quot;,&quot;effect&quot;:&quot;slide&quot;,&quot;speed&quot;:600,&quot;slides_per_view&quot;:3,&quot;space_between&quot;:10,&quot;auto_height&quot;:true,&quot;loop&quot;:&quot;yes&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;autoplay_speed&quot;:3000,&quot;pause_on_interaction&quot;:&quot;&quot;,&quot;pagination&quot;:&quot;bullets&quot;,&quot;show_arrows&quot;:true,&quot;slides_per_view_mobile&quot;:1,&quot;space_between_mobile&quot;:10,&quot;slides_per_view_tablet&quot;:2,&quot;space_between_tablet&quot;:10}\">\n\t\t\t\t<div class=\"swiper-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"swiper-slide\">\n\t\t\t\t\t\t\t<div class=\"pp-tm\">\n\t\t\t\t\t\t\t\t<div class=\"pp-tm-image\"> \n\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/i0.wp.com\/rebelem.com\/wp-content\/uploads\/2023\/01\/Copy-of-HIPPO-D3-Headshots-pt2-00579-scaled-e1769327644544.jpg?fit=1365%2C1427&#038;ssl=1\" alt=\"Mark Ramzy 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MD\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"pp-tm-content pp-tm-content-normal\">\n\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"pp-tm-name\">\n\t\t\tKim Bambach, MD\t\t<\/h3>\n\n\t\t\t\t\t<div class=\"pp-tm-position\">\n\t\t\t\tPodcasting Manager\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"pp-tm-description\">\n\t\t\t\tAssistant Professor of Emergency Medicine\nOhio State University\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"pp-tm-social-links-wrap\">\n\t\t\t<ul class=\"pp-tm-social-links\">\n\t\t\t\t\t\t\t<\/ul>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t<!-- Add Pagination -->\n\t\t\t<div class=\"swiper-pagination swiper-pagination-99753b3\"><\/div>\n\t\t\t\t\t\t\t<div class=\"pp-slider-arrow elementor-swiper-button-prev swiper-button-prev-99753b3\" role=\"button\" tabindex=\"0\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-angle-left\"><\/i>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"pp-slider-arrow elementor-swiper-button-next swiper-button-next-99753b3\" role=\"button\" tabindex=\"0\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-angle-right\"><\/i>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7008fd2d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7008fd2d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6e808d56\" data-id=\"6e808d56\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>In this episode and blog post, hosts Mark Ramzy and Kim Bambach (Assistant Professor of Emergency Medicine, The Ohio State University) explore a deceptively simple question: How accurately can we assess our own performance? The answer hinges on a classic cognitive bias that touches all of us in emergency medicine.<\/p>\n","protected":false},"author":31,"featured_media":20901,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[2219,2212,2213,2216,635,2218,2214,2215,1857,2210,2211,2221,2217,2222,2220],"rebel-category":[957,2207,991],"medical-category":[2208,976,2209],"prez-category":[],"coauthors":[888],"class_list":["post-20887","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-bias","tag-cognitive-bias","tag-dunning","tag-education","tag-em-mindset","tag-human-behavior","tag-kruger","tag-learning","tag-learning-curve","tag-mind","tag-mindset","tag-mount-stupid","tag-performance","tag-teaching","tag-valley-of-despair","rebel-category-cast","rebel-category-rebel-mind","rebel-category-reviews","medical-category-human-behavior","medical-category-psychiatry-behavioral-health","medical-category-team-performance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>REBEL MIND - The Dunning Kruger Effect: Why Looking Inward Improves Patient Care - REBEL EM - Emergency Medicine Blog<\/title>\n<meta name=\"description\" content=\"How accurately can we assess our own performance? 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