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Medicine Grand Rounds - Critical Thinking at the Bedside: Incorporating Uncertainty into your Practice and Teaching - April 24, 2020

Dr. Schwartzstein discusses patterns of thought processing for medical diagnosis. One is based on heuristic principles that allows for more efficient decision making but can lead to systemic errors, and another requiring deductive clinical reasoning and flexible hypothesis generation which is particularly useful in complex or unusual medical presentations. He supports questioning and innovation over speed for treatment decisions, which can lead to constructive discussions about uncertainty with colleagues and patients.

Activity Details

Start Date:  April 24, 2020
End Date:  April 24, 2023

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording. View the entire presentation.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

Learning Outcome

Participants will be able to describe a framework of thinking that includes System 1 and System 2 concepts, provide strategies for teaching thinking skills at the bedside, explain how explicit acknowledgement of uncertainty may enhance patient care, and describe strategies for discussing uncertainty with patients.

Presenter
  • Richard M. Schwartzstein, MD
    Chief, Division of Pulmonary, Critical Care, and Sleep Medicine
    Executive Director, Shapiro Institute for Education and Research at Harvard Medical School and Beth Israel Deaconess Medical Center
    Ellen and Melvin Gordon Professor of Medicine and Medical Education

    About our presenter:
    Dr. Richard Schwartzstein has been an active clinical educator and pursued both physiological and educational research while at Harvard Medical School. His education research focuses on the development of pedagogical approaches to enhance analytical reasoning, techniques to maximize the benefits of small group teaching, and assessment of the role of simulation in medical education.
Accreditation

Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).
Disclosure

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.


* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and is on the Scientific Advisory Board for Allurion. 


Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center
clpd.support@hitchcock.org


Type:     Internet Activity (Enduring Material)
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