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Intuitions that are available only to a few exceptional individuals are often called creative. Like other intuitions, creative ones are based on finding valid patterns in memory, a task that some people perform much better than others. Widely-shared patterns of associations exist and are recognizable, although few can find them without prompting.

What makes a grandmaster in chess is the ability rapidly identify the most promising moves. While this simple explanation belies the complexity of this skill, it is only when sparring against mediocre chess players that this becomes evident. The novice might still be considering the best move while the grandmaster will have already identified the dynamics of complex positions available. The ability to judge whether a move is promising or fruitless is, then, the work of a master.

Becoming a master

Chess masters acquire a repertoire of 50,000 to 100,000 immediately recognizable patterns. Strong players need a decade of serious play to assemble a rich repertoire of identifying good moves without excessive calculations of outcomes. Intuition is, simply put, the recognition of patterns stored in memory.

Compare with fire-ground commanders, required to make decisions under conditions of uncertainty and time pressure that preclude any orderly effort to generate and evaluate sets of options. The commanders tend to work on a single option, the only one needed. Their procedure is to draw on the repertoire of patterns that they have compiled during more than a decade of both real and virtual experiences, and identify a plausible option. Once the option is simulated and deemed the right fit for the situation, they implement it. If it is found to have shortcomings, they modify it, and repeat the process until an acceptable course of action is found.

This strategy is effective because it took advantage of the tacit knowledge of each commander. Fire ground commanders are able to draw on their repertoire to anticipate how flames will spread through a building, to notice signs that a house is likely to collapse, to judge when to call for additional support, and to make many other critical decisions.

In assessing candidates for officer training, field tests and other observations are used, including a personal interview. The assessors describe the powerful sense of getting to know each candidate and the accompanying conviction that they can foretell how well the candidate will do in further training and, ultimately, in combat. The subjective conviction of understanding each case in isolation is not diminished by the statistical feedback from officer training school, which indicates that the validity of the assessments is negligible. Faulty statistical intuitions survive both formal training and actual experience. Many studies in the intervening decades have confirmed the persistence of a diverse set of intuitive errors in the judgments of some professionals.

So intuitive judgments can arise from genuine skill but they can also arise from inappropriate application of heuristic processes.

True experts, it is said, know when they don’t know. Skilled judges are often unaware of the cues that guide them, and individuals whose intuitions are not skilled are even less likely to know where their judgments come from. However, non-experts (whether or not they think they are) certainly do not know when they don’t know. Subjective confidence is an unreliable indication of the validity of intuitive judgments and decisions.

Intuitive judgment can be trusted in cases of stable relationships between objectively identifiable cues and subsequent events. The other necessary condition is adequate opportunity for learning about the environment. If an environment provides valid cues and good feedback, skill and expert intuition will eventually develop in individuals of sufficient talent.

Medicine and fire fighting are environments where intuitive judgment of experts must be trusted. Expertise was also found in livestock judges, astronomers, test pilots, soil judges, chess masters, physicists, mathematicians, accountants, grain inspectors, photo interpreters, and insurance analysts. Stock price predictions and term forecasts of political events are practiced in examples of environments where intuitive judgment of “experts” cannot be trusted. Poor performance was also found in clinical psychologists, psychiatrists, college admissions officers, court judges, personnel selectors, and intelligence analysts.

Expert intuition is also possible in environment of high uncertainty. Poker and warfare are examples. The best moves in such situations reliably increase the probability for success.

Although intuitive judgment cannot develop in irregular or unpredictable environments, individuals will sometimes make judgments and decisions that are successful by chance. These lucky individuals might be susceptible to an illusion of skill and to overconfidence. They rely on heuristics that are false.

People sometimes have subjectively compelling intuitions even when they lack true skill, because the environment is stable or because they have not mastered it. Lewis described the weaknesses in the ability of baseball scouts and managers to judge the capabilities, contributions, and potential of players. Despite opportunities to acquire judgment skills, scouts and managers were often insensitive to important variables and overly influenced by such factors as the player’s appearance—a clear case of prediction by representation.

Subjective intuition can also result from biases: biases based on non-representative experience, incomplete memory, attribute substitution, reliance on representativeness, etc. “Anchoring” is one specific case in which a memory bias can cause intuitions to go astray. For instance, look at the difference in answers to the following two questions: “Is the average price of German cars more or less than $50,000?” versus “Is the average cost of German cars is more or less than $30,000?”

The so-called Pre-Mortem Method can reduce overconfidence and improve decisions. Teams using this method start by describing their plan. Next, they imagine that their plan has failed and the project has been a disaster. Their task is to write down all the reasons why the project failed. Each team member goes around the table and will tell their reasons, starting with the leader. The rationale for the method is that people can generate more criticisms when they are told that an outcome is certain. It also offers a solution to one of the major problems of decision-making within organizations: the gradual suppression of dissenting opinions, doubts, and objections, as are typically observed when an organization commits itself to a major plan.

Professionals who have expertise in some tasks are sometimes called upon to make judgments in areas in which they have no real skill. Three professions—nurses, physicians, and auditors—exhibit genuine expertise in some of their activities but not in others. For example, auditors who have expertise in “hard” data, such as accounts receivable, may do much less well with “soft” data, such as indications of fraud. The ability to recognize that a situation is anomalous and poses a novel challenge is one of the manifestations of authentic expertise. Descriptions of diagnostic thinking in medicine emphasize the intuitive ability of some physicians to realize that the characteristics of a case do not fit into any familiar category and call for a deliberate search for the true diagnosis.

Weather forecasters, engineers, and logistics specialists typically resist requests to make judgments about matters that fall outside their area of competence. People in professions marked by standard methods, clear feedback, and direct consequences for error appear to appreciate the boundaries of their expertise. These experts know more knowledgeable experts exist. Structural engineers know that there’s times when chemical engineers, or even structural engineers working with different types of models or materials, are the rightful experts to be consulted.

Intuitions that originate in heuristics are not necessarily wrong and are quite useful, but sometimes they lead to severe and systematic errors. Heuristics are simply less trustworthy than intuitions that have been rooted in specific experiences. Unfortunately, people are not normally aware of the origins of the thoughts that come to their minds. Subjective confidence is often determined by the internal consistency of the information on which a judgment is based, rather than by the quality of that information. As a result, evidence that is both redundant and flimsy tends to produce judgments that are held with too much confidence. These judgments will be presented too assertively to others and are likely to be believed more than they deserve to be. The safe way to evaluate the probable accuracy of a judgment is by considering whether the environment in which the judgment is made is predictable as well as the judge’s history of learning the rules of that environment.

In case of weak regularities, algorithms sometimes do better than chance. These algorithms only achieve limited accuracy, but they outperform humans because of their advantage of consistency. Algorithms significantly outperform humans under two quite different conditions. The first is when the predictability of the environment is so low that detecting weak regularities and maintaining consistency of judgment are critical; the second is in highly predictable environments, where occasional lapses of attention can cause humans to fail. Automatic transportation systems in airports are an example in that class.

The evaluation and approval of personal loans by loan officers is an example in which algorithms should be used to replace human judgment. Identifying the relatively small number of defaulting loans is a low-validity task because of the low base rate of the critical outcome. Algorithms have largely replaced humans in this task, using as inputs objective demographic and personal data rather than subjective impression of reliability. The result is an unequivocal improvement: We have fairer loan judgments (i.e., judgments that are not improperly influenced by gender or race), faster decisions, and reduced expenses.

Alexander Koto, a Soviet grandmaster of the past century, once said that, “.” In other words, “.” (Anatoly Karpov) To balance that speed and exactitude for the moment of need is a muscle to train, stretch, and continue to the develop throughout life.

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To add insult on top of injury, emergency room facility fees rose 89 percent between 2009 and 2015 — rising twice as fast as the price of outpatient health care, and four times as fast as overall health care spending.” As Attorney General, I will advocate for consumers, work to make such fees transparent ( Porronet Women’s Sandals dwJnR
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Over time, one of the important strategies for lowering the cost of health care and increasing access will be to encourage innovation in this sector. For starters, we need to enable tele-medicine solutions by ensuring that all hospitals have access to top-flight reliable broadband. When I visited Craig, Colorado, I learned that the hospital there lacks access to reliable broadband, instead depending on a single fiber line that often gets cut. That vulnerability undermines progress, and endangers lives. We need to do better. And we also need to ensure that all Coloradans have reliable broadband connections so they can benefit from tele-medicine and remote monitoring opportunities, which both increases access to health care and lowers costs. Here’s my plan for bringing broadband to all Coloradans .

Second, we need to evaluate opportunities to encourage accountable care organizations and other experiments designed to improve health care outcomes —rather than merely paying for health care services , which can incentivize hospitals to provide too many complex and expensive services without regard to their patients’ actual health care needs. We should also use innovative programs to address the shortage of family medicine doctors, and the lack of good options in many corners of our state. One promising program worthy of support is the BalaMasa Womens Fashion SlipResistant Comfort Urethane Boots ABL09959 Red ssr60
, which encourages Colorado doctors to practice in rural areas that are frequently underserved.

Colorado is uniquely well-positioned to drive such health care innovation, as we have a thriving health care ecosystem and the potential to be a nation-wide leader. I have worked, as the Founder of the Silicon Flatirons Center, to develop this ecosystem and would continue to do so as Attorney General (see, for example, Brooks Mens Running Shoes Grigio/Blu elettrico/Nero Size TJK8gP
and this report ).

Third, we need to liberate health care information—while also safeguarding its privacy—so patients can better manage their own care. The federal Health Information Portability and Accountability Act, or HIPAA, gives patients the right to access their own health care information. But in practice, patients rarely have meaningful access to their electronic health records, which means health care intermediaries are not to help patients better manage their care.

In determining the appropriate form of consent, organizations should also consider the reasonable expectations of the individual in the circumstances. For example, if there is a use or disclosure a user would not reasonably expect to be occurring, such as certain sharing of information with a third party, the downloading of photos or contact lists, or the tracking of location, express consent would likely be required.

In some cases, other contextual factors may come into play. For example, where an organization considers disclosure to a third party, the identity of the third party and their purpose in seeking access to the information may be relevant. Depending on the circumstances, an individual might reasonably expect that information could be disclosed to a third party with a legal entitlement to it; however, an individual would not reasonably expect disclosure to individuals who are merely curious or seek the information for nefarious purposes. Footnote 19

Underlying the contextual analysis of both sensitivity and reasonable expectations is risk of harm to the individual. Harm should be understood broadly, including material and reputational impacts, restrictions on autonomy, and other factors. Guiding Principle 1, above, states that individuals must be notified where there is a meaningful risk that a residual risk of harm will materialize and will be significant. The OPC is of the view that in such a situation, an individual would reasonably expect that consent for such a collection, use or disclosure would be express, not implied. Again, this assumes that the risk of harm does not meet a threshold which would contravene the “appropriate purpose” requirement described below (e.g. where there is a likely or probable risk of significant harm), in which case the purpose would be considered offside subsection 5(3) of PIPEDA .

The ability of children and youth to provide meaningful consent for the sharing of their personal information depends greatly on their cognitive and emotional development. Given the difficulties that adults have in understanding what is happening with their personal information in a complex environment, it would be unrealistic to expect children to fully appreciate the complexities and potential risks of sharing their personal information. In recognition of this, private sector privacy legislation allows for consent through an authorized person, such as a parent or legal guardian.

We recognize that the maturation process is an evolving one, as youth are introduced to– and thus begin to develop an understanding of - information-based services at increasingly early ages. The OPC is of the view that while a child’s capacity to consent can vary from individual to individual, there is nonetheless a threshold age below which young children are not likely to fully understand the consequences of their privacy choices, particularly in this age of complex data-flows. On the other hand, the OIPC-AB , OIPC-BC and Quebec CAI do not set a specific age threshold, but rather consider whether the individual understands the nature and consequences of the exercise of the right or power in question. Footnote 20 As such, where a child is unable to meaningfully consent to the collection, use and disclosure of personal information (the OPC takes the position that, in all but exceptional circumstances, this means anyone under the age of 13), consent must instead be obtained from their parents or guardians. For minors able to provide meaningful consent, consent can only be considered meaningful if organizations have reasonably taken into account their level of maturity in developing their consent processes and adapted them accordingly. Organizations undertaking such collections, uses or disclosures should pay special mind to Guiding Principle 7, and stand ready to demonstrate on demand that their chosen process leads to meaningful and valid consent.

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