A5053452380- Clinical Reasoning and Diagnostic Skills
- Innovations in Medical Education
- Radiology practices and education
- Hematological disorders and diagnostics
- Hospital Admissions and Outcomes
- Drug Transport and Resistance Mechanisms
- Metabolism and Genetic Disorders
- Infant Health and Development
- Child and Adolescent Health
- Health Systems, Economic Evaluations, Quality of Life
- Emergency and Acute Care Studies
- Infectious Encephalopathies and Encephalitis
- Racial and Ethnic Identity Research
- Blood disorders and treatments
- Vasculitis and related conditions
- Jewish Identity and Society
- Platelet Disorders and Treatments
- Otolaryngology and Infectious Diseases
- Poisoning and overdose treatments
- Urticaria and Related Conditions
- Cystic Fibrosis Research Advances
- Dermatological diseases and infestations
- Child Abuse and Related Trauma
- Restraint-Related Deaths
- Antimicrobial Resistance in Staphylococcus
Texas Children's Hospital
2020-2025
Baylor College of Medicine
2020-2025
Children's Cancer Center
2020
Lund University
2007
Perth Royal Infirmary
1957
Competency in diagnostic reasoning is integral to medical training and patient safety. Situativity theory highlights the importance of contextual factors on learning performance, such as being informed a provisional diagnosis prior encounter. This study aims determine how affects an intern's approach reasoning.
Pediatric Hospital Medicine (PHM) has a rapidly changing landscape following subspecialty certification in 2016. As the field continues to evolve, so does role of fellowship training. The goal this study was characterize postgraduate expectations current PHM fellows contribute understanding workforce dynamics. Using constructivist approach, we employed cross-sectional survey method with both multiple-choice and free-text questions fellows' perspectives regarding posttraining employment...
Abstract Background Since the publication of American Academy Pediatrics (AAP) clinical practice guideline for brief resolved unexplained events (BRUEs), a few small, single‐center studies have suggested low yield diagnostic testing in infants presenting with such an event. We conducted this large retrospective multicenter study to determine role leading confirmatory diagnosis BRUE patients. Methods Secondary analysis from cohort derived 15 hospitals participating Quality Improvement and...
OBJECTIVES To evaluate International Classification of Diseases, 10th Revision (ICD-10) coding strategies for the identification patients with a brief resolved unexplained event (BRUE). METHODS Multicenter retrospective cohort study, including aged <1 year an emergency department (ED) visit between October 1, 2015, and September 30, 2018, ICD-10 code following: (1) BRUE; (2) characteristics (3) serious underlying diagnoses presenting as (4) nonserious BRUE. Sixteen algorithms were...
Abstract Background Each year, the number of fellows entering Pediatric Hospital Medicine (PHM) fellowship is increasing. Residency curricula do not always prepare trainees for all aspects PHM as a specialty and gaps often exist in transition to fellowship. Objective To explore preparedness clinical, teaching, scholarship tasks at start identify opportunities residency program development. Design Quantitative survey. Setting Participants Current recently graduated (matriculation years...
Introduction There is a need for standardized approach to understand and assess clinical reasoning in medical learners. The Assessment of Reasoning Tool was developed based on prevalent theories ...
A previously healthy 9-year-old immigrant girl from Mexico was evaluated in the emergency department (ED) with one week of fatigue, fevers, rhinorrhea, and cough. She initially presented to her primary pediatrician, where a complete blood count revealed neutropenia, prompting referral ED. In ED, she found be influenza A–positive. Because dehydration, received intravenous fluids admitted pediatric hospital medicine service. After 2 days, symptoms improved, oral intake increased. However,...
A 20-year-old female with depression presented to the emergency department chronic weight loss, weakness, fatigue, hair rash, palpitations, and 2 weeks of cough. Initial history revealed that she had disordered eating habits dietary restriction, experienced a 50-pound unintentional loss over years despite reported adherence nutritional supplementation, normal gastrointestinal workup. On examination, was markedly cachectic BMI 10.3kg/m2 hypotensive (84/69 mmHg). Her cardiovascular examination...
Abstract Objectives Idiosyncratic approaches to reasoning among teachers and limited reliable workplace-based assessment feedback methods make teaching diagnostic challenging. The Assessment of Reasoning Tool (ART) was developed fill this gap, but its utility feasibility in providing residents has not been studied. We evaluated how the ART used assess, teach, guide on pediatric interns. Methods an integrated mixed-methods approach evaluate facilitates process between clinical learners....
My first week on service as a new pediatric hospital medicine fellow was, frankly, mess. team had no idea what I wanted, because how to run team. While debriefing the week, my attending encouraged me find way set learner expectations at beginning of each keep organized. remembered advice 2 inspiring medical educators focused keeping concise, straightforward, and easy remember. This led creating 4 rules, which, listed in big bold letters top emails, being—THE PATIENT COMES FIRST.As...