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Vimla L. Patel
Vimla Lodhia Patel FRSC is a Fijian-born Canadian cognitive psychologist and biomedical informaticist. Patel has worked in the area of biomedical informatics, in particular studying the mediating roles of technology on performance. Her work includes studies of medical errors and error reduction in emergency care and other critical medical environments, (including telephone triage). Her past work in health cognition includes studies of risk-taking behavior and sexual decision making as it pertains to HIV in youth and adolescents. Her current work focuses mostly on identifying underlying cognition in medical error and learning. Biography and careerPatel was born in Fiji and was educated at Southland Girls High School and the University of Otago in New Zealand.[1] After moving to Australia and then Canada, she obtained a PhD at McGill University in Montreal, before working as a professor.[1] She was a founding member of HEALnet (Health Evidence Application and Linkage Network), which made seminal contributions furthering informatics research and application in Canada. She was also a member of the InterMed Collaboratory, which developed guidelines for medical decision support, and has done extensive work in India, Africa, and Colombia in cross-cultural cognition research. In 2000 she became director of the Laboratory of Cognition and Decision Making in the department of Biomedical Informatics at Columbia University, where she was also faculty in the department of Psychiatry and Teacher's College. From 2007 to 2009, she served as interim chair and vice chair of Department of BMI at Arizona State University. Patel was a professor of biomedical informatics and co-director of the Center for Cognitive Informatics and Decision Making at the University of Texas Health Science Center at Houston from 2009 to 2011. As of November 2011, Patel joined the New York Academy of Medicine as a senior research scientist and is the head of the Center for Cognitive Studies in Medicine and Public Health and is an adjunct professor of biomedical informatics at Columbia University in New York. ResearchIn 1978 Elstein, Shulman and Sprafka applied cognitive science methods to investigate physicians’ clinical competence, developing a model of hypothetico-deductive reasoning which proposed that physicians reason by generating and testing a set of hypotheses to explain clinical data. This is an example of backward (hypothesis-to-data) reasoning.[2] In 1986, Patel and Groen demonstrated that experts who accurately diagnosed complex clinical problems used forward reasoning (data to hypothesis), in contrast to novice subjects who used backward reasoning and misdiagnosed or partially diagnosed the same problems.[3] Patel also applied text comprehension methods to understanding the use of clinical practice guidelines with the goal of increasing adoption of best practices.[4] Patel and colleagues have recently argued for new paradigm for error studies, where instead of zero error tolerance, detection and correction of potential error is viewed as an integral part of cognitive work in a complex workplace.[5] She is the author of more than 300 publications in cognitive psychology, biomedical informatics, medical education and related fields.[6] Honors
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