Clinical Teaching Fellows @LeMedSchool 👨🏻🏫🩺📚 • Educating Tomorrow's Doctors @uniofleicester 🎓🏥 • #MedEd
Room 2.46, George Davies Centre
Joined September 2015
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Absolutely! Too often we see “however” being used instead of “but” in the middle of a sentence!
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 @Empathy_Centre
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 @Empathy_Centre
Really enjoyed discussing how we can use role models to combat the decline in medical student empathy. Thanks to Y3 @LeMedSchool for making a commitment to ID positive role models in clinical practice. @Empathy_Centre #empathy #MedEd #safari
Great work @RachelJW25 ! 🙌
Brilliant opportunity @UoBMBChB
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💬 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.
@UK_CReME
Fabulous work 🤩
Let us know if you need a roadie! #clinicalreasoning
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Thoroughly deserved! Congrats to Lucy B, our upcoming academic palliatician! 🤩 #palliatician #Copyright
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…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 @UK_CReME
tandfonline.com/doi/full/10.…
Great work @firedup1970 always educating and inspiring students 👌
Careers talk - A special thank you to Dr. Alastair Sandilands, a Consultant Cardiac Electrophysiologist. We learnt some fascinating facts about heart surgery and the procedures to repair and maintain the human heart. @satrust_ @meltontimes
Clinical Teaching Fellows | Leicester retweeted
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
…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
A 31-year-old man p/w a headache that is throbbing and affecting the left-side of his head along with nausea and vomiting. Prior to symptom onset, he saw a bright light that progressively expanded, making it difficult for him to see. What is the likely diagnosis? #medEd
👨🏫 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
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?
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?
…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
Clinical Teaching Fellows | Leicester retweeted
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.
Clinical Teaching Fellows | Leicester retweeted
Dedicated, enthusiastic medical student Gurtek. In, on his days off, aiming for a career with #orthotwitter
Nice schematic on haematuria 🩸
Remember, aetiology is often multi-factorial.
Here are our 3️⃣ Ps to help…
⚠️ Predisposing e.g. Bladder Ca❓why not epistaxis/GI bleed if on a DOAC 🧐
📈 Precipitating e.g. UTI❓why are they presenting now 🕓
🔄 Perpetuating e.g. DOAC❓R/V 💊
