💡💡 New Publication Alert‼️ 💡💡
Of interest to all those who love Diagnostic Reasoning!!!
(And chief residents and others who run Medicine Morning Reports or teach courses in clinical reasoning!!)
pubmed.ncbi.nlm.nih.gov
Of interest to all those who love Diagnostic Reasoning!!!
(And chief residents and others who run Medicine Morning Reports or teach courses in clinical reasoning!!)
pubmed.ncbi.nlm.nih.gov
Wonderful to have worked with the brilliant @HollandKaplan and @JFBirnbaum (two former @BCM_InternalMed Chief Residents) on this opinion piece!!
Here is the abstract! 👇👇
In this paper, we discuss and coin a new term -- "endpoint diagnoses"!
What is an Endpoint Diagnosis? 👇👇👇
What is an Endpoint Diagnosis? 👇👇👇
What is a Cognitive Forcing Strategy?
A cognitive forcing strategy is a "forced mental check that occurs during the diagnostic process for the explicit purpose of optimizing it."
A cognitive forcing strategy is a "forced mental check that occurs during the diagnostic process for the explicit purpose of optimizing it."
Often in clinical medicine we make preliminary diagnoses -- CKD, pulmonary HTN, sepsis, nephrotic synd, hyperthyroidism, and more!
Yet, these often represent only the beginning of the diagnostic journey, and should prompt further evaluation to identify an underlying etiology.
Yet, these often represent only the beginning of the diagnostic journey, and should prompt further evaluation to identify an underlying etiology.
Further examples of these are here, broken down into different categories! 👇👇
Here is an example of reaching an endpoint diagnosis of cardiac amyloidosis, a diagnosis that is missed and sometimes chalked up only to "HFpEF".
The conclusions are below! 👇👇
In sum, endpoint diagnoses are final etiological explanations for other, more proximal Dxs.
We should always ask the ? whether the Dx we have reached is the final Dx, or simply a preliminary Dx that needs further elucidation.
A simple concept but very important!
We should always ask the ? whether the Dx we have reached is the final Dx, or simply a preliminary Dx that needs further elucidation.
A simple concept but very important!
Also, huge thanks to @Gurpreet2015 for extremely valuable feedback and advice on the manuscript!
Hope you might find this interesting and helpful to your practice and teaching!!
pubmed.ncbi.nlm.nih.gov
@Darcy_ID_doc @Cortes_Penfield @transplantID @JenniferSpicer4 @RebeccaEBerger @EvaAmenta @nepherson @ABRezMed @DoctorVig @KannuBansalMD @Rafameed
pubmed.ncbi.nlm.nih.gov
@Darcy_ID_doc @Cortes_Penfield @transplantID @JenniferSpicer4 @RebeccaEBerger @EvaAmenta @nepherson @ABRezMed @DoctorVig @KannuBansalMD @Rafameed
@CNemehMD — thought you might also be interested in this, as a fellow lover of morning report!
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