Clinical Teaching Fellows @LeMedSchool 👨🏻🏫🩺📚 • Educating Tomorrow's Doctors @uniofleicester 🎓🏥 • #MedEd
Joined September 2015
- Tweets 555
- Following 95
- Followers 610
- Likes 436
151 Photos and videos
26 Jan 2023
Absolutely! Too often we see “however” being used instead of “but” in the middle of a sentence!
25 Jan 2023
The real measure of academic excellence is mastering the strategic use of conjunctive adverbs: "moreover", "however", "therefore", "hence", "thus", "furthermore", "accordingly", "consequently", and "henceforth".
992
26 Jan 2023
Not just “I don’t know” but “let’s work together to find out”
Understanding a patient’s anxieties for an answer but being honest about our uncertainty is a step towards working in partnership in a shared-decision making process.
#ClinicalReasoning #Empathy @Empathy_Centre
The three most important words in medicine...
1
1,013
23 Jan 2023
Lovely to see… but remember that learning and re-enacting by vicarious reinforcement (Bandura) does not necessarily equate to empathy, and that imitation can appear contrived.
It has to come from a place of feeling by relating to own experiences. #Empathy @Empathy_Centre
20 Jan 2023
Really enjoyed discussing how we can use role models to combat the decline in medical student empathy. Thanks to Y3 @LeMedSchool for making a commitment to ID positive role models in clinical practice. @Empathy_Centre #empathy #MedEd #safari
2
982
21 Jan 2023
💬 Think Aloud…
Asking medical students for a problem representation before their differential diagnosis is like a maths teacher asking students to show their working out, not just give a final answer.
You can see exactly where the pitfall may be.
@UK_CReME
1
2
2
773
20 Jan 2023
Thoroughly deserved! Congrats to Lucy B, our upcoming academic palliatician! 🤩 #palliatician #Copyright
4
969
17 Jan 2023
…and hence the imperative need for explicit clinical reasoning teaching in our curricula.
Ideally, as a longitudinal theme based on educational pedagogy and evidence-based literature, mapped to this consensus statement by @UK_CReME
tandfonline.com/doi/full/10.…
The key here is effective diagnostics and targeted treatment.
That’s what keeps a huge number of patients in hospital beyond the issue of community support services.
Combo of an astute diagnostician and the supportive technology and allows rapid delivery of therapies @ home.
3
926
Great work @firedup1970 always educating and inspiring students 👌
6 Jan 2023
Careers talk - A special thank you to Dr. Alastair Sandilands, a Consultant Cardiac Electrophysiologist. We learnt some fascinating facts about heart surgery and the procedures to repair and maintain the human heart. @satrust_ @meltontimes
3
987
Clinical Teaching Fellows | Leicester retweeted
7 Jan 2023
Just looked at inpatient referrals in dermatology and 59% diagnostic error for common conditions ( in MRCP curriculum) : failure in CR is the cause . @Cooper00Nicola @drcolinm @HealthySkin4All
1
4
574
Clinical Teaching Fellows | Leicester retweeted
7 Jan 2023
Enjoyed this. Not a part of the undergraduate course back in my day. Interesting to read about modern theories pertaining to clinical decision-making. Gave me a lot to think about @Cooper00Nicola
1
2
17
2,575
…and now have a go with this similar presentation!
⚖️ Comparing and contrasting illness scripts, as opposed to revising disease in isolation, is key to developing your #clinicalreasoning
7 Jan 2023
A 31-year-old man p/w a headache that is throbbing and affecting the left-side of his head along with nausea and vomiting. Prior to symptom onset, he saw a bright light that progressively expanded, making it difficult for him to see. What is the likely diagnosis? #medEd
632
👨🏫 Example…
Problem Representation (INTERNAL synthesis):
💭 A YOUNG man, with no stated PMH, presents with a SUBACUTE Hx of RECURRENT bouts of UNILATERAL periorbital pain, ASSOCIATED with IPSILATERAL cranial autonomic features.
Prioritised DDx:
⤴️ Cluster
⤵️ Migraine
⚠️ SOL
Did you know you can harness every clinical case in groupwork to deliberately practice CHDD #clinicalreasoning concepts?
Exhibit A:
🔍 What semantic qualifiers can you identify or generate from this description?
🔍 How do they help you prioritise your differential diagnosis?
2
793
Did you know you can harness every clinical case in groupwork to deliberately practice CHDD #clinicalreasoning concepts?
Exhibit A:
🔍 What semantic qualifiers can you identify or generate from this description?
🔍 How do they help you prioritise your differential diagnosis?
5 Jan 2023
A 36-year-old man p/w recurrent bouts of left-sided severe lancinating periorbital pain, occurring daily for the past several weeks. During his episodes, he constantly tears, and has a “runny nose.” Exam w/ mitosis, ptosis, & conjunctival injection. What is the likely diagnosis?
1
1,460
…and wisdom is not just knowing you can investigate and treat, but if and when it is appropriate, as part of a shared-decision making process.
#clinicalreasoning
3 Jan 2023
Education is the acquisition of knowledge, while intelligence is the ability to use that knowledge to think and reason. One can be highly educated but not necessarily intelligent, and vice versa.
621
Clinical Teaching Fellows | Leicester retweeted
2 Jan 2023
New year, same reminder: listen to patients. Anchoring on a diagnosis like “acid reflux” in a 50 year old female just because she has been “healthy”, can result in missing obstructive CAD.
14
20
311
110,504
Clinical Teaching Fellows | Leicester retweeted
2 Jan 2023
Dedicated, enthusiastic medical student Gurtek. In, on his days off, aiming for a career with #orthotwitter
6
7
131
65,077
20 Dec 2022
Nice schematic on haematuria 🩸
Remember, aetiology is often multi-factorial.
Here are our 3️⃣ Ps to help…
⚠️ Predisposing e.g. Bladder Ca❓why not epistaxis/GI bleed if on a DOAC 🧐
📈 Precipitating e.g. UTI❓why are they presenting now 🕓
🔄 Perpetuating e.g. DOAC❓R/V 💊
1
1
2
1,013
20 Dec 2022
And don’t forget your 🍷 descriptions when you call Urology… is it Rosé or Merlot? 😜
297