⬆️ knowledge about the cognitive psychology of the diagnostic process may help learners & clinicians to improve the accuracy of diagnostic reasoning. Read the full article from John Brush, Jonathan Sherbino & @realgeoffnorman here: doi.org/10.1136/bmj-20…

In her book ‘Quiet’ Susan Cain writes eloquently about the under-appreciated contributions of introverts. Never underestimate the value of being thoughtful. We introverts have a lot to offer. We’ll just do it quietly. End/

Announcement of a New Venture called Sensible Medicine on Stop and Think johnmandrola.substack.com/p/announcement…

My first column on Sensible Medicine addresses how fear and the illusion of control can impair good medical decision-making. sensiblemed.substack.com/p/fear-and-con… #meded

HUMILITY is not thinking less of yourself, it’s thinking of yourself less! -Tony Bennett

What kind of human being would say this?

Silence.

I’m really enjoying Health and Veritas podcast with Harlan Krumholz and (((Howard Forman))). Expert commentary and interesting interviews by two of the best. I’m now a regular listener.

Great interview on #HealthAndVeritas with (((Howard Forman))) and Harlan Krumholz. Howie interviews Harlan and asks him to retrace a truly remarkable career that has influenced so many others and had created so much positive change. Time well spent listing to this.

1/ A privilege to work with Harlan Krumholz, Yuan Lu,Rachel Dreyer, Ph.D. (she/her), et al, looking at symptom phenotypes. Experts recognize diagnostic possibilities because they resemble memories called exemplars, which are mental representations of how features cluster as phenotypes.

2/ We examined the VIRGO and Silver AMI registries because these studies had details on symptoms in AMI patients. We examined how the symptoms clustered as symptom phenotypes and found that women, both young VIRGO and older in Silver, had more symptom phenotypes than men.

3/ Next we combined VIRGO and Silver AMI patients to look only at STEMI pts. Women had more symptom phenotypes, more symptoms on average and longer D2B times. Women had chest pain, but had more symptoms other than chest pain. Nausea was particularly prominent in young women.

4/ In STEMI pts with D2B time ≥90 minutes or no PCI, women had more symptom phenotypes than men overall and in the young patients, but not in the older patients. Initial recognition of diagnostic possibilities is important for D2B times and may be more difficult in women.

"The value of a college education is not the learning of many facts but the training of the mind to think." -- A. Einstein (1879 - 1955)

Piccolos are the tweetiest @RAHChristmas

Analysis of our regional real-world data showed rising hypertension prevalence and persistent racial disparities, providing a local call to action. Our analysis could be a model for other health systems. #AHAJournals John Brush Yuan Lu Harlan Krumholz ahajrnls.org/44LYLKV