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Day 2/Lecture 4: analyzing thought processes behind clinical reasoning with cases! Premature closure, framing and anchoring biases ARE a thing in the diagnostic process.
#IM2023 @ACPIMPhysicians
#IM2023 @ACPIMPhysicians
Think about your PR and schema based on the patient’s presenting complaint, trust your H+P, and resultant medical decision making! Practice holding off clinching Dx in PR. Can elaborate in A/P of note. Compare typical and atypical PRs. #IM2023 @ACPIMPhysicians
Keys to Clinical Reasoning:
1. Be skeptical - Trust but verify.
2. Deliberately engage in clinical reasoning
3. Foster a non-punitive culture for errors
4. Craft avenues for feedback
5. Identify the hard stops to prompt reflection and reassessment.
#IM2023 @ACPIMPhysicians
1. Be skeptical - Trust but verify.
2. Deliberately engage in clinical reasoning
3. Foster a non-punitive culture for errors
4. Craft avenues for feedback
5. Identify the hard stops to prompt reflection and reassessment.
#IM2023 @ACPIMPhysicians
Important to consider the sheer amount of tasks on our shoulders at hand-off times. Can’t expect them to re-do everything their hops med or ER peers already did, but Q things that don’t make sense to them. Also, can still be comprehensive in the A/P iso diagnostic uncertainty!
Proactively ask your colleagues to give you feedback on patients of yours that they have seen.
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