Time Stamps

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

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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