Time Stamps

  • Part one of case (0:56)
  • Cognitive ease and strain (03:51)
  • Metacognition and routine diagnostic timeout (08:15)
  • Think outside the box of organ systems (11:19)
  • Illness behavior (12:30)
  • Part two of case (14:06)
  • Algorithms (17:57)  
  • Fast thinking & pattern recognition (19:30)
  • Slow thinking & analytical reasoning (21:31)
  • Diagnosis (25:15)
  • Takeaways (26:52)

Show Notes

  • “Cognitive ease” refers to the phenomenon when we face a common diagnosis or symptom, the impression of familiarity can create a false sense of ease, which make us more susceptible to diagnostic errors.
  • It is important to think across systems: clinical reasoning should not be limited to organ-based approach as local symptoms can be signs of systemic illnesses.
  • “Illness behavior” involves the psychosocial influences that affect how people monitor, define, interpret their symptoms as well as how they utilize health care resources.
  • Pattern recognition is a powerful fast thinking tool that can be improved by practicing illness script and problem representation.
  • Slow analytic thinking and metacognition are ways to balance the cognitive biases that frequently accompany fast thinking.
  • Algorithms and tables can be great tools, but don’t let them dominate your clinical reasoning.


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