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Tuesday, April 28, 2009

Could You Get on the Same Page?

It's always great to solicit and consider expert opinions. It's not so great, though, when qualified experts don't agree, and you have to decide and act.

Being confronted with this situation recently (4 physicians, none of whom agreed on the appropriate course of action) caused me to reflect on decision factors to be considered when this happens. These issues seem applicable in comparable situations you may face:

  • What are the experience levels among dissenting parties? Are they generalists and/or specialists?

  • How long has each expert been involved with the situation? Does more tenure translate into greater expertise?

  • Are there differences in the risk/benefit perspectives among the experts?

  • Do any of the experts have a personal or vested interest in a particular outcome? Does a preference create disproportional bias on a particular expert's perspective?

  • Is there a more solid logic behind one point of view vs. another?

  • How do the relationships among the experts play into the difference of opinion?

  • How willing is each expert to consider and learn from new information?

  • Are any experts in roles that create a disproportionate bias?

  • If assistants are involved, how do they react relative to the experts they are or aren't affiliated with?

In the situation I faced, it appears we made the right decision.

We took the most experienced expert's point of view; he also had the most tenure and personal interest in the situation. The medical specialist, who was newest to the case and most reluctant to act, demonstrated role bias, made an illogical risk assessment, and had a wonderful P.A. who gave ample cues that she wasn't fully in support of his position. He was willing, however, to accept new information, and went ahead with the (successful) surgery he was initially reluctant to perform.

So, what questions or criteria do you use to figure out which expert to believe?

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Idea Machine said...

When letting experts discuss ideas, we always look for the most polarizing ideas and engage the experts to work on them. (

Entered by Mike (from a Twitter message)

Neil McPherson said...

An intriguing post and an excellent introduction for me to your blog, Mike. Maybe we should meet because we have so much in common,but for now I will be subscribing and questioning here and there. Do you have any objection to my blogging this post?

Getting experts to come to a conclusion? Editorial teams and fellow editors a good example and sometimes co.script writers. Have found that in any group there is a listener and if I chair, I watch the listener who is usually synthesing or amalgumating (sic) and look for signs she is wanting to say something. I have cracked meetings up, that were bogging down, using that way. Just an idea. (Oh, did I say I am a listener? They are usually smug.)

Mike Brown said...

Great technique Neil. My challenge in this situation was that I couldn't get any two of the expert doctors in the hospital room at the same time. Not sure if that was coincidence or by design, but it made it challenging to get to an ultimate point of view!