This blog is based on a talk I gave at The ResusNL conference in The Netherlands and you can see a recording of it here. It was my first speaking opportunity outside of the UK and I was incredibly nervous but everyone was very welcoming and made me feel at ease. I hope you enjoy … Continue reading Diagnostic Thinking in Resuscitation – Analytical or Analogical
A recent tweet from the account of the QI Elves has added a new Rubber Duck to my consciousness and rather bizarrely it is related to my interest in Diagnostic Thinking. Is it possible that a rubber duck could reduce errors and improve patient safety?
The frailties of our cognition are long established and whilst it may not be possible, or even desirable, to have all clinicians thinking alike, we must acknowledge these faults inherent in human thinking and make deliberate efforts to mitigate them. What follows are six simple questions that attempt to trigger a more reflective process by diagnosticians and potentially reduce the impact of erroneous thinking.
Problem solving is a key part of what we do as doctors: that’s what the diagnostic process is. As seniors it is our responsibility to help teach this skill and train our junior colleagues in it but do we actually understand how our brains solve problems and how that might apply to our clinical practice?
We all love to watch experts at work, they make what they do look so effortless, and whilst it is certainly possible to learn from watching these people in action it is even better to have them explain exactly what, why and how they do what they do. Traditionally we learn most of our clinical medicine by watching experts, rows of medical students sat in the outpatient clinic or juniors following the consultant on their ward round or theatre list. So, is there a way we can make our expert thinking more visible, a way to help them understand our actions?
I have become more and more convinced of the need for clinicians to understand not just what we think but why we think what we do. Too often we concentrate on whether what we think is correct rather than asking ourselves how we got to that answer and this is particularly true when making diagnostic decisions. I decided I needed a way to help clinicians reflect upon their diagnostic thinking and so the Random Patient Generator was born.