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Clinical Reasoning Exercises

Introduction to Exercises in Clinical Reasoning

Copy of The Doctor

The Doctor by Sir Luke Fildes © Tate (2015)
Available under a CC-BY-NC-ND 3.0 (Unported) license 
http://www.tate.org.uk/art/artworks/fildes-the-doctor-n01522

Background:

The Exercises in Clinical Reasoning (ECR) section of JGIM Web provides tools for faculty and trainees interested in both learning and explicitly teaching core concepts in clinical reasoning. Ultimately, we aim to have a positive impact on students and trainees as they develop expertise in the diagnostic process, with the core aim of improving patient care. The ECR series utilizes a clinical problem-solving format and then includes a meta-cognitive commentary to decipher the clinical reasoning process used by expert diagnosticians. This parallel process allows the reader to understand the framework by which the clinician solves (or doesn’t solve) the case.  

On this page, you will find a downloadable curriculum built on the ECR series designed to help clinician educators learn and teach critical reasoning concepts. Each case on the website will include an introduction to the clinical reasoning concept highlighted in the case, downloadable teaching slides, which include an embedded instructor’s guide, and links to other clinical reasoning resources.  We hope that the ECR website will inspire others to use clinical reasoning concepts to enhance their teaching, and potentially, and will even motivate some educators to submit their work to the JGIM ECR series.

Content for each clinical reasoning concept:

  • Introductory document: Defines the reasoning concept and links it to the related ECR case(s)
  • ECR case: Provides free access to the ECR manuscript(s)
  • PowerPoint: Offers a teaching slide-set that can be used to walk learners through the ECR case while focusing on a key reasoning concept

Current Reasoning Concepts:

Problem representation

Illness scripts

Dual process theory

Diagnostic Schema


The JGIM Exercises in Clinical Reasoning Editorial Board:

Denise-M-Connor.png Denise M. Connor, MD is an Associate Professor of Clinical Medicine at the University of California, San Francisco (UCSF) based at the VA Medical Center. She is Associate Director of PRIME Residency program and Director of the Diagnostic Reasoning Block for second-year medical students. She earned her MD from the University of Pennsylvania, School of Medicine.
Jeffrey-Kohlwes.png

Jeffrey Kohlwes MD, MPH is a Professor of Clinical Medicine in General Internal Medicine and Director of the PRIME Residency program at the University of California, San Francisco based at the Veterans Affairs Medical Center.  He earned his MD from Dartmouth College and public health degree from the University of Washington.  He is also the Associate Editor for Clinical Content for the Journal of General Internal Medicine.

Carlos-Estrada.png Carlos Estrada, MD, MS, FACP is Director of the Division of General Internal Medicine at the University of Alabama at Birmingham, Birmingham and Senior Scholar for the BVAMC Quality Scholars Fellowship Program. Dr. Estrada earned his MD from Cayetano Heredia University (Lima, Peru). His research interests are in medical education, faculty development, and clinical prediction rules.
Rabih-Geha.png

Rabih Geha, MD is Chief Resident at the University of California, San Francisco. He earned his MD from Brown University. His clinical interests are in medical education with a focus on clinical reasoning and diagnostic expertise.  

Mark-C-Henderson.png

Mark C. Henderson, MD is UC Davis School of Medicine Associate Dean for Admissions and Outreach and vice chair and residency program director for the Department of Internal Medicine. He earned his MD from UCSF school of Medicine. His research has focused on medical education, including student career choices and the use of systematic reviews in clinical education.

Untitled.png Neil Mehta, MBBS, MS is Assistant Dean for Education Informatics and Technology and Professor of Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. He earned his MBBS from N.H.L Municipal Medical College.
Reza-Manesh.png Reza Manesh, MD is an Assistant Professor of Medicine at the Johns Hopkins University School of Medicine. He earned his medical degree from the University of Pittsburgh. His academic interests include the study and teaching of clinical reasoning and diagnostic expertise.

Contact the ECR Team


 



 

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