Dedicated, enthusiastic medical student Gurtek. In, on his days off, aiming for a career with #orthotwitter

New year, same reminder: listen to patients. Anchoring on a diagnosis like “acid reflux” in a 50 year old female just because she has been “healthy”, can result in missing obstructive CAD.

…and wisdom is not just knowing you can investigate and treat, but if and when it is appropriate, as part of a shared-decision making process. #clinicalreasoning

Did you know you can harness every clinical case in groupwork to deliberately practice CHDD #clinicalreasoning concepts? Exhibit A: 🔍 What semantic qualifiers can you identify or generate from this description? 🔍 How do they help you prioritise your differential diagnosis?

👨‍🏫 Example… Problem Representation (INTERNAL synthesis): 💭 A YOUNG man, with no stated PMH, presents with a SUBACUTE Hx of RECURRENT bouts of UNILATERAL periorbital pain, ASSOCIATED with IPSILATERAL cranial autonomic features. Prioritised DDx: ⤴️ Cluster ⤵️ Migraine ⚠️ SOL

Enjoyed this. Not a part of the undergraduate course back in my day. Interesting to read about modern theories pertaining to clinical decision-making. Gave me a lot to think about @Cooper00Nicola

Richard Biram @Cooper00Nicola Just looked at inpatient referrals in dermatology and 59% diagnostic error for common conditions ( in MRCP curriculum) : failure in CR is the cause . @Cooper00Nicola Prof Colin R Melville @HealthySkin4All

…and now have a go with this similar presentation! ⚖️ Comparing and contrasting illness scripts, as opposed to revising disease in isolation, is key to developing your #clinicalreasoning

Great work Alastair Sandilands always educating and inspiring students 👌

…and hence the imperative need for explicit clinical reasoning teaching in our curricula. Ideally, as a longitudinal theme based on educational pedagogy and evidence-based literature, mapped to this consensus statement by CReME tandfonline.com/doi/full/10.10…

Thoroughly deserved! Congrats to Lucy B, our upcoming academic palliatician! 🤩 #palliatician #Copyright

Fabulous work 🤩 Let us know if you need a roadie! #clinicalreasoning

💬 Think Aloud… Asking medical students for a problem representation before their differential diagnosis is like a maths teacher asking students to show their working out, not just give a final answer. You can see exactly where the pitfall may be. CReME

Great work Rachel Westacott ! 🙌 Brilliant opportunity UoBMBChB

Lovely to see… but remember that learning and re-enacting by vicarious reinforcement (Bandura) does not necessarily equate to empathy, and that imitation can appear contrived. It has to come from a place of feeling by relating to own experiences. #Empathy Stoneygate Centre for Empathic Healthcare

New Podcast Episode Coming Tomorrow! Join us for our latest instalment of the TASME TiME podcast with Dr Mark Lilicrap where we discuss Developing Clinical Reasoning!

Not just “I don’t know” but “let’s work together to find out” Understanding a patient’s anxieties for an answer but being honest about our uncertainty is a step towards working in partnership in a shared-decision making process. #ClinicalReasoning #Empathy Stoneygate Centre for Empathic Healthcare

Absolutely! Too often we see “however” being used instead of “but” in the middle of a sentence!