Core IM | Internal Medicine Podcast #79 Struggles with Clinical Reasoning: Hoofbeats Segment
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Dec 9, 2020 Join Dr. Andrew Parsons, a UVA hospitalist and clinical reasoning expert, alongside Dr. Jess Dreiser, a fellow UVA hospitalist and passionate fan of the show. They dive into the common struggles of medical trainees with clinical reasoning. Explore effective coaching exercises and the importance of low inference feedback. They discuss personal stressors affecting performance, offer insights from case studies, and emphasize structured approaches to enhance diagnostic skills. It’s a rich conversation on improving clinical education and learner support.
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Check Mental Well-being
- Check learners' mental well-being before focusing on clinical skills.
- Address potential underlying anxiety, depression, or cognitive issues like ADHD.
Clinical Reasoning Struggles
- Learners often struggle with clinical reasoning due to lack of explicit instruction.
- Deficiencies can manifest as vague issues like "not putting it all together."
Case 1: Inefficient Intern
- Intern JP was disorganized, anxious, and inefficient despite strong academic history.
- He struggled to complete patient tasks efficiently, even with fewer patients.