#57 A 39M on Inpatient Psychiatry with a Fever: Hoofbeats Segment

from Core IM | Internal Medicine Podcast · host Core IM Team

How do you learn from diagnostic errors? Walk through a case that the host had initially gotten wrong and uncover possible reasons as why from data gathering to hypothesis generation to the interplay between hypothesis generation and evaluation. Learn interesting tidbits on prior work in medical education around how we think, particularly around diagnostic failures.CME Credit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTime Stamps02:39 Case Introduction04:46 Yes/No questions with our first two discussants18:43 The diagnosis is revealed21:14 Why did I miss the diagnosis?27:44 Using diagnostic problem solving to break down the case and understand our errors30:20 The importance of data gathering30:49 Introducing our third clinician34:17 Hypothesis generation37:11 The interplay between hypothesis generation and evaluation38:34 The win-stay, lose-shift heuristic41:33 Cognitive forcing strategies49:32 Knowledge vs. experienceTags: Dermatology, rash, DRESS, AGEP, varicellaFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics and use my code branchbasics.com/COREIM for a great deal: https://branchbasics.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Quince for high-quality clothes with affordable pricing and use code quince.com/coreim Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What this episode covers

How do you learn from diagnostic errors? Walk through a case that the host had initially gotten wrong and uncover possible reasons as why from data gathering to hypothesis generation to the interplay between hypothesis generation and evaluation. Learn interesting tidbits on prior work in medical education around how we think, particularly around diagnostic failures. CME Credit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) Time Stamps * 02:39 Case Introduction * 04:46 Yes/No questions with our first two discussants * 18:43 The diagnosis is revealed * 21:14 Why did I miss the diagnosis? * 27:44 Using diagnostic problem solving to break down the case and understand our errors * 30:20 The importance of data gathering * 30:49 Introducing our third clinician * 34:17 Hypothesis generation * 37:11 The interplay between hypothesis generation and evaluation * 38:34 The win-stay, lose-shift heuristic * 41:33 Cognitive forcing strategies * 49:32 Knowledge vs. experience Tags: Dermatology, rash, DRESS, AGEP, varicella Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out Branch Basics and use my code branchbasics.com/COREIM for a great deal: https://branchbasics.com * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Quince for high-quality clothes with affordable pricing and use code quince.com/coreim Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

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#57 A 39M on Inpatient Psychiatry with a Fever: Hoofbeats Segment

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This episode was published on January 22, 2020.

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