Core IM | Internal Medicine Podcast
Health & Fitness:Medicine
#57 A 39M on Inpatient Psychiatry with a Fever: Hoofbeats Segment
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
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. experienceTags: Dermatology, rash, DRESS, AGEP, varicella
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