"Best of" | Struggles with with Clinical Reasoning Hoofbeats

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 17 September 2022

⏱️ 36 minutes

🔗️ Recording | iTunes | RSS

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Summary

Can you identify where along the clinical reasoning pathway the learner is struggling? What coaching exercises can be helpful? What feedback do you fall back on when working with learners? What are common challenges?Digital Education Conference 2022 in Oct 7 2022: https://cmecatalog.hms.harvard.edu/digital-education (https://cmecatalog.hms.harvard.edu/digital-education)Show notes, Transcript and References: https://www.coreimpodcast.com/2020/12/09/hoofbeats-strugg…inical-reasoning/ (https://www.coreimpodcast.com/2020/12/09/hoofbeats-struggles-with-clinical-reasoning/)ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	Hi everyone this episode of Coriam will count for
0:03.1	ceme credit with the American College of Physicians
0:05.4	click on the link in the show notes complete three questions and get ceme credit
0:09.8	I am particularly excited about the special hoofbeats episode because I really think it's going to be a game changer for any attending that works with a trainee and really insightful also just for all all learners.
0:22.0	And with that, cue the intro.
0:25.1	I think that everybody struggles at some point along the way,
0:29.1	and we all specifically struggle with clinical reasoning because the system is not set up to explicitly
0:36.6	teach it along the way and so we're all left on our own to some degree to learn it and so we
0:41.7	learn it at a different trajectory. The voice you heard is Dr.
0:46.3	Andrew Parsons. He's a hospice at UVA and chair of the Coach Program's Clinical Reasoning
0:51.6	Subcommittee which helps to support residents who are struggling with clinical. Coach Programs
0:53.4	who are struggling with clinical performance.
0:56.0	I'm Dr. Jess Driser, also a hospitalist at UVA School of Medicine.
1:00.2	I'm a long time fan of the pod and excited about making my Coriam debut.
1:04.0	And I'm Zovin Sargass Yam, a hospitalist at Baylor College of Medicine in Houston,
1:08.0	also a long time listener and first time co-host, very excited about this important topic.
1:13.8	What Dr. Parsons said makes so much sense.
1:16.7	I don't remember learning much about clinical reasoning in medical school,
1:20.1	and now as an educator, I definitely struggle with assessing it.
1:24.1	Because you're trying to understand how someone else is thinking, but all you hear is the product of the thought
1:28.5	process. And so on this episode of Hoofeats, we'll focus on building a differential, so to speak,
1:35.0	about what might be going on with the learner
	...

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