What is diagnostic reasoning?
A scientific process where providers suspect causes of symptoms, gather data, perform tests, and recommend therapies.
What percentage of cases involve diagnostic errors?
About 10–15%.
What is the second leading cause of adverse medical events?
Diagnostic errors.
What reduces diagnostic errors by improving awareness of thinking processes?
Metacognition.
What does diagnostic reasoning begin with?
Chief complaint, vital signs, and observations.
What is a problem representation?
A concise summary using demographics, clinical features, and qualifiers.
What is an illness script?
A mental template of a disease including pathophysiology, who gets it, signs/symptoms, and duration.
What are the two types of reasoning in dual-processing theory?
Intuitive (fast, pattern recognition, error-prone) and analytical (slow, deliberate, reliable).
What qualities make a good hypothesis?
Coherence (fits patho), adequacy (explains all findings), parsimony (simplest explanation), and ability to eliminate alternatives.
What is the difference between rule-in vs rule-out in diagnosis?
Rule-out = absence of sensitive finding excludes disease; Rule-in = presence of specific finding confirms disease.
What are the main steps of the clinical reasoning process?
History & physical → hypotheses → cluster findings → refine with illness scripts → assess adequacy/coherence → make differential list → working diagnosis → plan tests/treatments.
What is interprofessional education (IPE)?
Students from 2+ professions learn with, from, and about each other to collaborate.
What is interprofessional collaborative practice?
Health workers from different backgrounds work with patients, families, and communities for high-quality care.
Why is IPE important?
Reduces errors, improves safety, supports cost-effective care, improves outcomes, and reduces disparities.
What are common barriers to IPE?
Professional silos, stereotypes, role confusion, resistance, systemic barriers.
How does cultural competence relate to IPE?
It improves collaboration across diverse populations.
What shift is health system transformation undergoing?
From volume-based to value-based care.
What tools support health system transformation?
ACOs, PCMHs, EHRs, disease-management pilots, care coordination.
What are the 4 competency domains of IPEC (2011)?
Values & ethics, roles & responsibilities, interprofessional communication, teams & teamwork.
What is a key point to remember about IPE?
It improves communication and reduces medical errors.
Heuristics are?
Mental shortcuts that lead to error
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Diabetes57
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Social Determinants of Health10
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Thyroid46
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IPE21
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Hypertension29
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Hyperlipidemia34
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Nutrition55
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Anemia30
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Genetics26
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Older Adult Depression26
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Delirium30
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Dementia + Behavioral Disturbances52
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Movement Disorders38
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FINAL-- Neuro pt. 220
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FINAL- Pulmonary31
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FINAL- Cardiac60
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FINAL- GI50
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FINAL- Adolescent78
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FINAL- Psych60
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FINAL- ID68
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FINAL- Geriatric Syndromes25
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FINAL- Renal/ Fluid and Electrolytes59
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FINAL- Oncology45
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FINAL- Functional Rehab25
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FINAL- Anemia pt 2/ Hematologic Urgenies47
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FINAL- Pain20
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FINAL- Seizures39
