Apr 9, 2018
Become an expert diagnostician
like Dr Gurpreet Dhaliwal, Professor of Medicine at UCSF. Join us
for this deep dive into clinical reasoning and how doctors think!
Topics include: how to improve your own clinical reasoning and
diagnostic skills, how to teach these skills, and the initial steps
to building your own expertise/mastery in clinical medicine! Dr.
Osler once admonished his students to build experiential wisdom and
follow-up with their clinical cases (clear cases, doubtful cases,
and mistakes), but to do so, one must “...learn to play the game
fair, no self-deception, no shrinking from the truth; mercy and
consideration for the other man, but none for yourself, upon whom
you have to keep an incessant watch.” Test yo’
Take our quiz here
Written and produced by:
Stuart Brigham, MD; Images by Hannah Abrams; Edited by:
Matthew Watto, MD
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will gain an appreciation for the Clinical Reasoning process and
the difficulties that underpin building expertise in
After listening to this episode
- Develop an appreciation for clinical
- Recall the importance that the educator plays
in role modeling.
how to improve diagnostic accuracy by keeping a patient
- Identify the common nomenclature used in
clinical reasoning and how teaching this common verbiage could
serve to improve diagnostic accuracy
- Recognize that misdiagnosis is common in
clinical practice and every clinician could benefit from deliberate
- Explain the difference between experience and
Advice for learners and teachers (Pearl #1)
Can a computer out-think a human?
Defining Clinical Reasoning
“Train the Brain” introduced
Knowledge is a precondition
A learner who lacks synthesis
How to provide learner feedback
Defining problem representation, illness scripts, etc.
How to start teaching clinical reasoning
Focus on the “why” and not the “what”
Teaching the nomenclature of clinical reasoning
“You can’t get the right answer if the brain is solving the wrong
Osler and his “Incessant Watch”
Being wrong feels exactly the same as being right
Patient tracking (Dr. Dhaliwal’s recommendation)
Why keeping a patient log is so important
Are heuristics beneficial?
Can you debias yourself?
“Going slow just makes you slow.”
All evidence has flaws, but knowledge is still king.
Clinical reasoning on multi-disciplinary teams
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