Fundamentals of Medical Decision Making [ESP70]
Monday to Friday (5 afternoons)
Prof. John Wong
Erasmus MC, Rotterdam NL
- Clinical Research
Detailed information about this course:
Faculty: Prof. John Wong, MD
This course will provide an introduction to health care decision making. Given the uncertainty, trade-offs and values that are involved, how should patients, policymakers and clinicians navigate through a complex and tangled web of diagnostic and therapeutic choices, patient preferences, and resource constraints to make optimal decisions? Medical interventions may have benefits but also adverse effects, e.g., surgery may lead to undesirable complications, and diagnostic technologies may produce false or inconclusive results.
In many clinical and health policy decisions it is necessary to counterbalance benefits and harms and to trade off competing objectives such as maximizing life expectancy vs. optimizing quality of life vs. minimizing the resources required. In this course we will discuss a proactive approach to such decisions and discuss the basic concepts underlying decision analysis in order to integrate evidence and values for optimal and efficient care choices in the face of uncertainty. Topics include diagnostic reasoning, test interpretation, treatment thresholds, test-treat thresholds, estimating life expectancy, quality of life assessment, health technology, decision models and cost-effectiveness analysis.
Teaching methods: Interactive lectures, exercises and practicums.
The student is able to:
- Apply a systematic rational approach to decision making in health care
- Recognize the role of uncertainty in testing and treatment decisions
- Assess, value and weigh benefits and harms in medical decision making
- Describe how to consider economic costs in health care policy decisions
Those interested in learning how to improve the process by which medical decisions are made in clinical practice for individuals and in health policy for populations.
Reduction on fees
PLEASE NOTE THIS DOES NOT APPLY TO THE RESEARCH MASTERS (120 ECTS)
50% reduction on our fees for participating institutes of NIHES
This 50% reduction is offered to participants formally appointed at the departments or sections participating in NIHES.
University Medical Center Rotterdam/Erasmus University Rotterdam:
- Department of Epidemiology
- Department of Public Health
- Department of Psychiatry, Section of Medical Psychology and Psychotherapy
- Department of Child and Adolescent Psychiatry/Psychology
- Department of Medical Informatics
- Department of General Practice
- Erasmus School of Health Policy & Management
- Generation R
50% reduction on our fees for NIHES affiliated partners
This 50% reduction is offered to participants formally appointed at the following NIHES affiliated partners:
University Medical Center Rotterdam/Erasmus University Rotterdam, departments of:
- General Paediatrics
- Plastic and Reconstructive Surgery
- Rehabilitation Medicine
Institute of Medical Education Research Rotterdam (iMERR)
Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital
- Department of Cancer Epidemiology
25% reduction on our fees for partner institutes of NIHES
For participants formally appointed at the following departments, institutes:
- Departments of Erasmus MC (except the departments mentioned above)
- Addiction Research Institute (IVO)
- Integraal Kankercentrum Zuid (IKZ)
- Pallas Health Research and Consultancy
- Municipal Health Service Amsterdam (GGD Amsterdam)
- Municipal Health Service Rotterdam (GGD Rotterdam)
- Admiraal De Ruyter Ziekenhuis
25% reduction for all (international) PhD students
Please state your tutor’s name and email address on the application form (remarks field).
25% reduction on our course fees (maximum 3 EC points per academic year) for all NIHES alumni
Please state that you are a NIHES alumnus/alumna and the academic year you graduated (remarks field).