scholarly journals Cleveland Clinic Foundation Internal Medicine Residency Program

2020 ◽  
Vol 38 (2) ◽  
pp. 190-193
Author(s):  
Christine Zayouna ◽  
Jessica El-Asmar ◽  
Ahmad Abu-Haniyeh ◽  
Shailee Shah ◽  
Karam Al-Issa ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Residency Program ◽  
Cleveland Clinic ◽  
Cleveland Clinic Foundation ◽  
Internal Medicine Residency ◽  
Internal Medicine Residency Program ◽  
Clinic Foundation

scholarly journals Development and evaluation of a clinical reasoning curriculum as part of an Internal Medicine Residency Program

Diagnosis ◽  
2019 ◽  
Vol 6 (2) ◽  
pp. 115-119 ◽  
Author(s):  
Shwetha Iyer ◽  
Erin Goss ◽  
Casey Browder ◽  
Gerald Paccione ◽  
Julia Arnsten
Keyword(s):  
Internal Medicine ◽  
Clinical Reasoning ◽  
Residency Program ◽  
Cognitive Biases ◽  
Diagnostic Errors ◽  
Internal Medicine Residency ◽  
Case Vignette ◽  
Internal Medicine Residency Program ◽  
Reasoning Skills ◽  
Clinical Reasoning Skills

Abstract Background Errors in medicine are common and often tied to diagnosis. Educating physicians about the science of cognitive decision-making, especially during medical school and residency when trainees are still forming clinical habits, may enhance awareness of individual cognitive biases and has the potential to reduce diagnostic errors and improve patient safety. Methods The authors aimed to develop, implement and evaluate a clinical reasoning curriculum for Internal Medicine residents. The authors developed and delivered a clinical reasoning curriculum to 47 PGY2 residents in an Internal Medicine Residency Program at a large urban hospital. The clinical reasoning curriculum consists of six to seven sessions with the specific aims of: (1) educating residents on cognitive steps and reasoning strategies used in clinical reasoning; (2) acknowledging the pitfalls of clinical reasoning and learning how cognitive biases can lead to clinical errors; (3) expanding differential diagnostic ability and developing illness scripts that incorporate discrete clinical prediction rules; and (4) providing opportunities for residents to reflect on their own clinical reasoning (also known as metacognition). Results Forty-seven PGY2 residents participated in the curriculum (2013–2016). Self-assessed comfort in recognizing and applying clinical reasoning skills increased in 15 of 15 domains (p < 0.05 for each). Resident mean scores on the knowledge assessment improved from 58% pre-curriculum to 81% post curriculum (p = 0.002). Conclusions A case vignette-based clinical reasoning curriculum can effectively increase residents’ knowledge of clinical reasoning concepts and improve residents’ self-assessed comfort in recognizing and applying clinical reasoning skills.

scholarly journals Applying the Milestones in an Internal Medicine Residency Program Curriculum

2013 ◽  
Vol 88 (11) ◽  
pp. 1665-1669 ◽  
Author(s):  
Becky N. Lowry ◽  
Lisa M. Vansaghi ◽  
Sally K. Rigler ◽  
Steven W. Stites
Keyword(s):  
Internal Medicine ◽  
Residency Program ◽  
Internal Medicine Residency ◽  
Internal Medicine Residency Program
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