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Thinking About Thinking: Coaching Strategies To Promote Clinical Reasoning

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This document provides a framework for coaching strategies to promote clinical reasoning. It includes models of diagnostic reasoning, key concepts and terms, a coaching toolbox, and a framework for addressing problems with diagnostic reasoning. Case studies and information on clinical reasoning and the electronic medical record are also presented.

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Thinking About Thinking: Coaching Strategies To Promote Clinical Reasoning

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Shahab Uddin

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Thinking about Thinking:

Coaching Strategies to Promote

Clinical Reasoning

Elizabeth Stuart, MD, MSEd

Becky Blankenburg, MD, MPH
Lavjay Butani, MD
Noelle Johnstone, MD
Michele Long, MD
Nicole Marsico, MD

COMSEP
March 2011

1
Stuart, Blankenburg, Long, Johnstone, Butani, Marsico, COMSEP 2011

Table of Contents

Models of Diagnostic Reasoning

Key concepts and terms
Coaching toolbox
Framework for addressing problems with
diagnostic reasoning
Cases
EMR and Clinical Reasoning (PowerPoint
handout)
Annotated bibliography

2
Stuart, Blankenburg, Long, Johnstone, Butani, Marsico, COMSEP 2011

Diagnostic reasoning: frameworks & models

Fundamental tasks in diagnostic reasoning:

Patient with a complaint or

problem

Differential Dx (DDx) for this

problem

DDx for this patient

Working Dx

Final Dx

3
Stuart, Blankenburg, Long, Johnstone, Butani, Marsico, COMSEP 2011

Key Elements of Clinical Reasoning

Chief Complaint

Search for Illness Scripts

Working, then
final diagnosis

4
Stuart, Blankenburg, Long, Johnstone, Butani, Marsico, COMSEP 2011

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