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Search2020-05-20T12:01:36-05:00
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Search Results for Clinical Reasoning
Abstract Number: 56
REAL-WORLD VIRTUAL PATIENT SIMULATION TO IMPROVE DIAGNOSTIC PERFORMANCE:A PROSPECTIVE CASE-CONTROL QUASI-EXPERIMENTAL PRETEST-POSTTEST STUDY
Hospital Medicine 2020, Virtual Competition
Background: Despite a commitment to high-quality medical education, diagnostic errors continue to be pervasive. Clinical presentations with nonspecific symptoms and diagnoses with wide differentials are prone to diagnostic errors; dizziness may be the epitome of this conundrum. Dizziness is a common symptom, costly to assess, and frequently misdiagnosed. Diagnostic decisions have high stakes, given the […]
Abstract Number: 356
VISUALIZATION OF CLINICAL REASONING: A GRAPHICAL WAY TO TEACH DIAGNOSIS, TESTING, AND TREATMENT DECISIONS
Hospital Medicine 2020, Virtual Competition
Background: Teaching trainees clinical reasoning is a critical skill for clinical teachers. Advances in the fields of cognitive science and educational theory have provided a conceptual framework of core concepts in clinical reasoning: problem representation, illness scripts, treatment thresholds, and test-treatment thresholds. Purpose: We designed a one-hour workshop to teach interns core concepts in clinical […]
Abstract Number: 369
I-REASON: A PRACTICE-BASED CURRICULUM TO TEACH DIAGNOSTIC REASONING AND HIGH-VALUE DECISION-MAKING IN THE WARD
Hospital Medicine 2020, Virtual Competition
Background: Developing contextualized curricula in diagnostic reasoning and clinical decision-making is crucial to improve medical education (1,2). Barriers to transition from classroom-based to workplace curricula include workflow constraints, the absence of standardized tools to assess clinical reasoning, the complexity of decision making, and outdated teaching methods (3,5). Aimed to bridge these gaps, we developed the […]
Abstract Number: 448
NOTESENSE: DEVELOPMENT OF A MACHINE LEARNING ALGORITHM FOR FEEDBACK ON CLINICAL REASONING DOCUMENTATION
Hospital Medicine 2020, Virtual Competition
Background: Clinical reasoning is a core component of medical training yet learners receive very little formative feedback on their clinical reasoning documentation. We hypothesize that this is related to the lack of a shared assessment rubric and faculty time constraints. Purpose: Here we describe the process of developing a machine learning algorithm for feedback on […]
Abstract Number: 574
A CASE OF INVASIVE PULMONARY ASPERGILLOSIS IN UNDIAGNOSED LATE-ONSET CYSTIC FIBROSIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50 year-old African American male with type 2 diabetes requiring insulin, end stage renal disease on peritoneal dialysis, coronary artery disease, infertility, chronic pancreatitis, alcohol use disorder, and recent influenza presented with fever and cough. He was afebrile, hypotensive, tachycardic, and tachypneic with a leukocytosis and bibasilar consolidations on chest x-ray. He […]
Abstract Number: 787
EMERGEN-C! TREATMENT OF A PATIENT WITH METHEMOGLOBINEMIA WITH VITAMIN C
Hospital Medicine 2020, Virtual Competition
Case Presentation: Our patient was a 46-year-old man who presented with two days of malaise, headache, fever and productive cough. He denied chest pain, shortness of breath, exposure to sick contacts or recent travel. He has a past medical history of Celiac disease with associated dermatitis herpetiformis treated with dapsone and betamethasone cream for several […]
Abstract Number: 1084
WHEN HEURISTICS FAIL; UNRAVELING A CONVOLUTED CASE OF SEEMINGLY UNRELATED SYMPTOMS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old female with history notable for Crohn´s disease in remission presents with dysphagia associated with an unintentional 16kg weight loss over six weeks. Review of symptoms is notable for chronic diarrhea which stopped 3 days prior to admission and acute dysuria and polyuria. She is afebrile and hemodynamically stable. Initial laboratory studies […]
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