Ideas and Opinions
12 September 2017

Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training

Publication: Annals of Internal Medicine
Volume 167, Number 7
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References

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Balogh EPMiller BTBall JRedsCommittee on Diagnostic Error in Health Care; Board on Health Care Services. Improving Diagnosis in Health Care. Washington, DC: National Academies Pr; 2015.
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Makary MADaniel M. Medical error—the third leading cause of death in the US. BMJ. 2016;353:i2139. [PMID: 27143499]  doi: 10.1136/bmj.i2139
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Internal Medicine Milestone Group. The Internal Medicine Milestone Project. Accreditation Council for Graduate Medical Education; American Board of Internal Medicine. July 2015. Accessed at www.acgme.org/Portals/0/PDFs/Milestones/InternalMedicineMilestones.pdf on 22 June 2017.
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Schmidt HGMamede S. How to improve the teaching of clinical reasoning: a narrative review and a proposal. Med Educ. 2015;49:961-73. [PMID: 26383068]  doi: 10.1111/medu.12775
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Graber MLFranklin NGordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165:1493-9. [PMID: 16009864]
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Norman GRMonteiro SDSherbino JIlgen JSSchmidt HGMamede S. The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Acad Med. 2017;92:23-30. [PMID: 27782919]  doi: 10.1097/ACM.0000000000001421
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Simpkin ALSchwartzstein RM. Tolerating uncertainty—the next medical revolution? N Engl J Med. 2016;375:1713-5. [PMID: 27806221]
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Cooke SLemay JF. Transforming medical assessment: integrating uncertainty into the evaluation of clinical reasoning in medical education. Acad Med. 2017;92:746-51. [PMID: 28557933]  doi: 10.1097/ACM.0000000000001559
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Information & Authors

Information

Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 167Number 73 October 2017
Pages: 507 - 508

History

Published online: 12 September 2017
Published in issue: 3 October 2017

Keywords

Authors

Affiliations

Arabella L. Simpkin, MD, MMSc
From Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Jatin M. Vyas, MD, PhD
From Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Katrina A. Armstrong, MD, MSCE
From Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Corresponding Author: Arabella L. Simpkin, MD, MMSc, Department of Medicine, Massachusetts General Hospital, 50 Staniford Street, 9th Floor, Boston, MA, 02114; e-mail, [email protected].
Current Author Addresses: Dr. Simpkin: Department of Medicine, Massachusetts General Hospital, 50 Staniford Street, 9th Floor, Boston, MA 02114.
Drs. Vyas and Armstrong: Department of Medicine, Massachusetts General Hospital, Grey/Bigelow 7th Floor, 55 Fruit Street, Boston, MA 02114.
Author Contributions: Conception and design: A.L. Simpkin, K.A. Armstrong, J.M. Vyas.
Drafting of the article: A.L. Simpkin, K.A. Armstrong, J.M. Vyas.
Critical revision for important intellectual content: A.L. Simpkin, K.A. Armstrong, J.M. Vyas.
Final approval of the article: A.L. Simpkin, K.A. Armstrong, J.M. Vyas.
Administrative, technical, or logistic support: K.A. Armstrong.
This article was published at Annals.org on 12 September 2017.

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Arabella L. Simpkin, Jatin M. Vyas, Katrina A. Armstrong. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med.2017;167:507-508. [Epub 12 September 2017]. doi:10.7326/M17-0163

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