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Core IM | Internal Medicine Podcast

#183 Diagnose the Clinician: Hoofbeats Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 21 July 2025

⏱️ 39 minutes

🧾️ Download transcript

Summary

What went wrong? What were the reasoning or contextual missteps that led us astray?

🔹 Sponsor: NEJM Fellowship Program, click here to learn more and/or apply! Due Aug 1, 2025

🔹 Transcript and Show Notes

Timestamps:

(00:02) | Case Presentation and Initial Diagnosis

(02:47) | Tachycardia and Early Impressions

(04:10) | Clinical Deterioration and New Clues

(07:19) | Problem Representation and Reflection

(21:45) | Lessons on Reasoning and Bias

(26:55) | Final Takeaways and Action Steps


Tags: Clinical Reasoning, Internal Medicine, Diagnostic Accuracy, Hoofbeats, Cognitive Bias, Medical Education, Illness Scripts



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Transcript

Click on a timestamp to play from that location

0:00.0

I am so excited to have any J.M.'s editorial fellowship program as a sponsor for this podcast.

0:05.9

Here from Dr. Sarah Gorey and any J.M editorial fellow on what qualities that would make this

0:12.3

opportunity really aligned. It comes down to three main things. So the first thing I think is,

0:18.4

are you curious? You're the kind of person who's, why do we do that and why don't we do something else?

0:22.8

You know, I think that curiosity is key.

0:24.7

The second thing I think is communication.

0:26.9

Are you passionate about communicating the reason behind what we do, the science, the evidence,

0:33.2

it's communicated clearly that we're accountable, that it's true and it is, you know, the best

0:38.5

quality evidence of being presented because the people who work at the New England Journal of

0:42.1

Medicine are incredibly passionate about making sure that science is accurate and have communicated

0:47.1

in the clearest possible way. And then you're a sponge. Do you want to learn? Do you want to just

0:52.5

sit and soak up the wisdom, the experience,

0:56.9

the knowledge that people have in this environment? So for me, those three things. If you have

1:01.9

those skills, you would really enjoy the fellowship. So if you're curious, have a love of

1:07.3

communication and want to learn as much as possible, the one-year full-time

1:11.8

paid editorial fellowship may be right for you. Check out the show notes for the link and learn more

1:16.7

about the program and the application. Hi everyone. Welcome back to another episode of Hoofebeats.

1:24.9

I'm Cindy Fent and Hospice at NYU. And I'm John Huang,

1:28.4

Cindy's colleague at NYU. We're going to do something a bit different this episode. You will hear

1:34.2

real case presented to you as though we are at the M&N conference. Your first challenge is, as usual,

1:40.6

to diagnose the patient. But your second challenge and the real reason we are here is to

1:45.7

diagnose the physician. Why might they have struggled to think of the right diagnosis in the real

...

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