(Listen here instead) Good clinical thinking is good critical thinking. Critical thinking in medicine requires a variety of tools in our cognitive armamentarium. We must […]
A Tale of Two Teachers
(Hate reading: Listen instead!) One of the most important experiences in my life occurred when I was a freshman in High School. I was […]
Cancer Screenings and Over-diagnosis: Pick The Outcome That Matters
Source What are the principles of a good screening test? The test should identify a clinically important disease that, if left untreated, will cause significant […]
How Do I Make a Differential Diagnosis? Or, Pelvic Pain
The differential diagnosis, used appropriately, can serve as one of the most powerful de-biasing tools. When we interview a patient, review records, perform physical exam, […]
It’s Either Normal … Or It Isn’t? Watch Out For The Drift
It’s Either Normal … Or It Isn’t? Is this true? Well, yes. This black and white statement sounds false to anyone with even a little bit […]
Reducing Cesareans Infographic
For more info, see How To Stop The Explosive Rise in the Cesarean Section Rate. Also, this bulletin from ACOG.
Clinical Reasoning: The Scope of the Problem
What are some of the problems with the way doctors think? The answers to this question are complex. The problems are many and the scope […]
How Should I Pick a Specialty?
This time of year is always full of anxious medical students desperately trying to meet deadlines and decide what field of medicine they want to […]
Reader Questions (#1)
Shoulder dystocia. Q. How should we define it? Is it any vaginal delivery requiring more than downward traction to deliver the anterior shoulder? Is it further […]
Words Matter, or When Should I Order Labs for Preeclampsia?
The words we use and the way we use words makes a difference. How we use words affects the way we think about the ideas […]