An “In-between-isode”. Art and Nic discuss lessons from the conferences in Switzerland, Association of Medical Educators of Europe (AMEE) and the European Diagnostic Error in Medicine Conference (EuroDEM). We also discuss Argentinian parrillas…
Here are links to some of the speakers/topics discussed:
If you’re a techno-geek you’ll want to check out Bertalan Meskò’s website, The Medical Futurist.
One of the favorite talks from the AMEE conference was from Menno de Bree who pleaded for more pessimistic doctors. Here’s a TED talk that’s just as funny, engaging, (and yes, pessimistic) on the nature of happiness. Well worth the time!
And read ANYTHING by Gerd Gigerenzer on the power of heuristics- perhaps not the error prone, bias-riddled way of thinking we thought they were! Here’s a slide show in the public domain that illustrates some of his points.
Finally here are links to the excellent articles by Marie-Claude Audétat and Mathieu Nendaz (apologies for mis-pronouncing your surname in the podcast, Mathieu!) on remediation of clinical reasoning problems, part 1 and part 2.
thank you
Aren’t illness scripts a form of heuristic? That is, a shorthand, pattern recognition, intuitive, system 1, etc. way of asking, Is this heart failure? Is this COPD? That said, not all heuristics are created equal. My heuristics now are better than they were a year ago, which was better than the year before, and most of that has come from seeing and reasoning about more patients. As you’ve quoted Gurpreet Dhaliwal in saying, you need to see more patients, think about more cases to refine your diagnostic reasoning. But I also subscribe to the aphorism that perfect practice makes perfect.… Read more »
Yes Ben, illness scripts are a kind of heuristic or at the very least a mnemonic for remembering complex bundles of data. And they are very effective in general. The more and more nuanced they are, the better.