Episode 4: Gurpreet Dhaliwal

Dr. Gurpreet Dhaliwal is professor of clinical medicine at UCSF and has written many articles in the realm of clinical reasoning.  Although you have already heard snippets of our conversation on prior episodes, we thought we would share the entire interview with all of you.  Gurpreet has an enlightening way of explaining how we think, and how we move from good clinicians to expert clinicians, through extended problem-solving and feedback.

Hear Dr. Dhaliwal expand the idea of how experienced clinicians can become ‘expert’ clinicians in an excellent Grand Round presentation at the University of Washington entitled Clinical Judgement: Good to Great.

Here’s a short video of Dr. Dhaliwal discussing the problem of designing a computer program to augment clinical reasoning.

 

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Episode 3: Differential Diagnosis and Problem Representation

 

Here’s a link to an article by Mark Graber, MD on diagnostic errors and how to avoid them.

Click here for an online video conference with several diagnosis ‘experts’ moderated by Mark Graber examining diagnostic error and among other things the use of online differential diagnosis generators.

 

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Episode 2: Biases

 

Here are some good articles for further reading on the topic:

Diagnostic Failure: A Cognitive and Affective Approach by Pat Croskerry 

Cognitive Strategies and Detection of Bias by Pat Croskerry

The Importance of Cognitive Errors in Diagnosis and Strategies to Minimize Them by (who else?) Pat Croskerry

And for a slightly ‘contrary’ view of the dual processing model and cognitive bias check out this reference to a Geoff Norman article on the topic.

Other relevant links:

Agency for Healthcare Research and Quality (US Dept. of Health and Human Services): Diagnostic Errors

The Clinical Reasoning Toolkit on the Society to Improve Diagnosis in Medicine website

 

If you’d like to leave a comment about this episode, give us feedback or suggest topics for future episodes, please click the comments link on the upper left of this page.