The Curbsiders Internal Medicine Podcast

#90 Clinical Reasoning: Become an expert diagnostician

Apr 9, 2018
Join Dr. Gurpreet Dhaliwal, a Professor at UCSF and an expert in clinical reasoning, as he unpacks the art of diagnosis. He discusses how to enhance your clinical reasoning skills and emphasizes the power of deliberate practice and feedback. The conversation reveals the significant differences between human expertise and technology in diagnostics. Dhaliwal also stresses the importance of introspection, learning from mistakes, and fostering a passion for continuous improvement in medical practice.
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INSIGHT

Clinician vs. Computer

  • Clinicians diagnose by mapping human problems to known diagnoses, a feat computers cannot fully replicate yet.
  • Computers can handle small parts of diagnosis but not the entire process.
INSIGHT

Expertise: Not Innate

  • Expertise in medicine isn't about innate talent but deliberate practice.
  • Simply reading and seeing patients isn't enough to achieve expertise.
ADVICE

Train Like an Athlete

  • Train your brain like a musician or athlete, prioritizing training over constant performance.
  • Doctors face the dilemma of reversed priorities, performing all week with limited training time.
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