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Clinical Reasoning Corner: Illness Script

The Clinical Problem Solvers

our own illness scripts) as we reason to a working diagnosis or a final diagnosis. So the illness script we developed as a first-year medical student will evolve over time. Including key features with high likelihood ratios will help you decide whether to treat, test for, or toss a diagnosis.

Illness 52
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Not “burnout,” not moral injury—human rights violations

Pamela Wible MD

and it has been linked to rising rates of physician depression , doctor suicide , and medical errors. Despite increasing attention to physician wellness , the rates of burnout continue to rise—especially among frontline clinicians, medical students, and residents. Yet moral injury is not an official diagnosis.

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Buprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho

GeriPal

So I have thought about this for months, maybe years since your 2016, cycle blog, but we have picked Under Pressure by David Bowie and Queen. They have poor pain, they have poor function, but you also can’t clearly make a diagnosis. And sometimes you can make a use disorder of diagnosis in hindsight.

Illness 103
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What can we learn from simulations? Amber Barnato

GeriPal

As we’ve written about on GeriPal when we were a blog (a decade ago!) I think the first time I noticed it was, like as a medical student when you would rotate on one service with one attending and they would make decisions about how to treat a case one way. There’s that recognition piece. Amber: Norm is, yeah.

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The Promise and Pitfalls of AI in Medicine: Guest Bob Wachter

GeriPal

I remember walking through San Francisco Airport with Bob, we just happened to be there at similar times, and saying, “Eric and I are thinking about starting a blog.” In the ’70s and ’80s, there were a lot of efforts to build AI programs, and the first problem that they tried to tackle was diagnosis. Bob: Yeah.

IT 140
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Keynote: Finding your bliss—beating physician “burnout”

Pamela Wible MD

It’s now so common that more than half of all doctors report symptoms, with medical students , residents , and even senior clinicians feeling pushed to the brink. It’s just a trash can label—not really even a diagnosis, a made-up term that is used as psychological warfare on physicians to control us. I’m open.”

Clinic 246