National Rounds | Diagnostic Reasoning: Should we trust our gut?

In Education & Quality Improvement, National Rounds by Jonathan Sherbino3 Comments

5On May 24th, 2016, Dr. Jonathan Sherbino (@sherbino) of McMaster University was invited to speak at Grand Rounds at the University of Saskatchewan on the topic of diagnostic reasoning. His presentation explained how physicians think of a diagnosis and how we can teach learners cognitive strategies to improve their diagnostic reasoning. This blog post has taken that wisdom and (hopefully) captured it in blog post form as the first blog edition of CanadiEM National Rounds. Misdiagnosis… The Boogieman …

Symptoms and No Diagnosis.

In Editorial by Edmund Kwok2 Comments

Guest post by James Worrall. Why is there so much suffering that we cannot explain? Asked another way, why are there so many symptoms and so few diagnoses? As an emergency physician, I see many patients who arrive at the hospital with chest pain, abdominal pain, numbness of the extremities, or other potentially worrisome complaints, and yet no cause is found. In fact, I estimate that we only make a diagnosis in one …

Would you rather misdiagnose or misdispose?

In Medical Concepts by Brent Thoma1 Comment

Over the past two weeks I have been completing a rotation focusing on the administrative aspects of the emergency department. Halfway through a shift with one of my admin mentors, the quality improvement ninja and philosopher king known to most as Dr. Mark Wahba, we played a brief game of “Would you rather?” If you have yet to be initiated, you probably need to get out more. “Would you rather?” is a party …