Reasoning on Rounds: a Framework for Teaching Diagnostic Reasoning in the Inpatient Setting.

Penner, John C; Shipley, Lindsey C; Minter, Daniel J · J Gen Intern Med · 2023

other · Level V

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Abstract

Internal medicine trainees learn a variety of clinical skills from resident clinical teachers in the inpatient setting. While diagnostic reasoning (DR) is increasingly emphasized as a core competency, trainees may not feel entirely comfortable teaching it. In this perspective article, we provide a framework for teaching DR during inpatient rounds, which includes focusing on the one-liner, structuring a reasoning-focused A&P, and performing a day of discharge reflection.

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