Exam Room · Part IV · The Diagnostic Synthesis

The Working Diagnosis

Chapter 11 Bedside Questions · 6 questions · about 6 minutes

The clinical picture

Committing to a diagnosis in the ED: chest pain, MI vs. aortic dissection, written with alternatives ruled out and confidence stated; diagnostic hesitancy as its own pathology.

What this exam measures

The working diagnosis, operationally: whether your organization has written down what is wrong, with the alternatives ruled out, before choosing a fix. Answer Yes only when someone can produce the evidence today.

The examination

Answer as your executive team would, with the evidence in hand. Each question has a factual answer in a system you already own.

Do you recognize your organization in the six candidate diagnoses; which would your executives have named before, and which now?

Add a note: where is the evidence, or who owns it?

Do you have a working cross-disciplinary, cross-executive synthesis function, or five excellent specialists and no lead physician?

Add a note: where is the evidence, or who owns it?
4 more questions belowThey open when you take the whole exam.

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Add a note: where is the evidence, or who owns it?

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Add a note: where is the evidence, or who owns it?

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Add a note: where is the evidence, or who owns it?

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Add a note: where is the evidence, or who owns it?

A reflection tool from the book, not a validated diagnostic test or benchmark. Your answers and notes stay in this browser and in your own report, and go to Dr. Powell only if you chose that when you started. Please don't enter patient information.

The first step is not a purchase. It is an examination of the patient.

The Diagnostician, Chapter 11