Group items tagged

"To describe the essential components of the medical model of substance use disorders. To delineate the interviewing skills necessary to screen effectively for substance use and abuse. To understand the high rate of psychiatric and medical co-morbidity and more effectively screen patients for these disorders. To demonstrate skills for evaluating patients' stage of change, readiness to accept the diagnosis, and readiness to undertake behavior change. To clearly and supportively recommend treatment to patients with substance use disorders. To describe the skills required for addiction prevention counseling. To define the skills that help set respectful limits on patient requests for prescription medication. To demonstrate awareness of how physician/clinician attitudes toward patients with substance use disorders impact recognition, diagnosis, and treatment of patients. To demonstrate knowledge of substance use disorder treatment standards and the ability to recommend appropriate referrals."

"The trap that we nearly fell into is called anchoring bias. The patient was admitted to our team with the diagnosis of alcohol withdrawal. Once we had that label in our minds, we fit everything into that diagnostic box, anchoring all of his symptoms to that diagnosis, even ones that didn't quite fit."

Isabel is an award-winning, clinical decision support system designed to enhance the quality of diagnosis decision making. Its unique feature is a diagnosis reminder system.For a given set of clinical features Isabel instantly provides a checklist of likely diagnoses including bio-terrorism conditions, related diagnoses and causative drugs.

Quickly search AccessEmergency Medicine for diagnosis and treatment information plus technique-oriented videos for teaching, learning, and board review. Quickly search AccessEmergency Medicine for diagnosis and treatment information plus technique-oriented videos for teaching, learning, and board review.

Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinical performance. It is vulnerable to a variety of failings, the most prevalent arising through cognitive and affective influences. The impact of diagnostic failure on patient safety does not appear to have been fully recognized. Ideally, all information used in diagnostic reasoning is objective and all thinking is logical and valid, but these conditions are not always met.

"Making a Diagnosis: New Models for Old Presented by Patrick Croskerry, MD, PhD Professor, Department of Emergency Medicine, and Division of Medical Education, Faculty of Medicine, Dalhousie Universit"

"Diagnosis-Independent Alzheimer Disease Biomarker Signature in Cognitively Normal Elderly People"

I heard Trojanowski (the senior author) talk about this last month at the annual meeting of the American Association for Clinical Chemistry. It's a very interesting topic with a lot of social ramifications. The statement in the absrract that among people with mild cognitive impairment, the biomarker profile had a 100% sensitivity for development of AD needs to be carefully considered. First, the metric that is of greater interest is the positive predictive value. Second, it is known that some patients who have the classic AD findings at autopsy did not have mental impairment in life. We know this from the Nun study.

- The Ultimate Medical & Differential Diagnosis Reminder Tool

Get a list of possible diagnoses in seconds covering over 15,000 disease manifestations such as symptoms, labs, ECG, X-ray, CT-scan, MRI, ultrasound...

"STATworkUP™ has an immense amount of correlated data between symptoms, tests, diagnoses and treatments. While the app cannot be relied upon to thoroughly determine a differential diagnosis or provide an evidence-based summary of therapy, it can serve as an additional arrow in the clinicians quiver especially when wrestling with an uncommon diagnostic dilemma."

The tool was conceived by a research team from the Faculty of Health and Life Sciences at UWE Bristol led by principal lecturer Simon Messer, and developed in collaboration with Avon Somerset and Wiltshire Cancer Services (ASWCs) who commissioned the project as part of the National Awareness and Early Diagnosis Initiative. The idea is that GPs can access GP Sim from their computer at a time that suits to fine tune their diagnostic skills.

"According to a 2011 report by the Pew Research Center's Internet & American Life Project, of the 74% of American adults using the Internet, 34% have read someone else's commentary or experience about health or medical issues on an online news group, website or blog. Meanwhile, about 13% of patients blog about their diagnosis or experience. "

"CLEAR aims to provide clinicians with summarised evidence relating to aetiology, diagnosis, prognosis and treatment queries about patient care. CLEAR is delivered by an information team working to a service criteria and a defined method. "

By considering clinical reasoning as a skill to be learnt rather than a concept to be understood, a framework for teaching this skill can be developed. The learner initially observes a consultation by the teaching clinician, followed by the teacher explaining the reasoning processes used including hypothesising, hypothesis testing, re-analysis and differential diagnosis. The student then comments on the reasoning of the teacher in a subsequent consultation, followed by feedback from the teacher on the student's reasoning in a third consultation.

A series of articles

Yale medical students visit art galleries to hone their observational skills

"This case reinforces the importance of interpreting test results with caution and with attention to the clinical picture. Effective communication between the nurses and specialists caring for the patient led to the correct diagnosis and a good clinical outcome. This clinical scenario and clinical problem-solving exercise emphasize the importance of looking at the "hole" picture."

Take the Challenge - an online programme developed by Age Concern and the RCGP to help improve the diagnosis and treatment of older people with depression.

Having helped lift the veil on one of the last taboos in Canadian medicine, Dr. Pat Croskerry has concluded critical thinking is the key to reducing the large numbers of medical mistakes made each year, especially in diagnosis.

100 Diagnostic Challenges in Clinical Medicine is composed of one hundred well-illustrated clinical scenarios and their appropriate investigations. A wide variety of specialties are covered including cardiology, neurology, dermatology, endocrinology, tropical medicine, haematology, metabolic medicine, radiology, ophthalmology, venereology, and infectious diseases. Presenting the relevant investigations corresponding to each case in an interesting and easy-to-read Q&A format concerning diagnosis and management