The Clinical Problem Solvers

Episode description

Dr. Chris Jackson presents a Human Dx unknown to Drs. Valilis, Kaiser and Reza

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Human Dx case link 

Special thanks to Drs. Miranda Huffman and Anand Patel for editing this case.

Dr. Hannah Kaiser

Hannah Kaizer went to University of Maryland School of Medicine and is now a second year resident in the Osler Medical Training Program at the Johns Hopkins Hospital. After residency, she hopes to complete a fellowship in hematology and oncology. Outside of the hospital, she enjoys cooking for friends and family, trying new restaurants, and spending time with her husband, Alex, and French Bulldog, Bruno.

Dr. Eva Valilis

Eva Valilis is a second year internal medicine resident at Johns Hopkins. She is a native Texan from El Paso and received her undergraduate degree at the University of Texas at Austin in public health. She graduated from the University of Texas at Houston Medical School, where she also obtained her Masters in Public Health. In her free time Eva enjoys shopping and traveling, particularly visiting her extended family in Greece.

Human Dx

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Episode description

Dr. Zaven Sargsyan presents a Human Dx clinical unknown to student Dr. Levine, Dr. Rice and Rabih

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Case link – Human Dx App

Emma Levine

Emma Levine is currently a fourth-year medical student at the University of California, San Francisco, applying to Internal Medicine residency programs this fall. She is interested in clinical and epidemiological research, medical education, and clinical reasoning. Her clinical interests include gastroenterology, with a special interest on how we can use food to heal the gut and better understanding the gut microbiome, as well as palliative care.

When not in the hospital, Emma  enjoys training and teaching as a barre instructor, traveling the world with her family, and exploring restaurants in San Francisco and abroad.

Dr. Brooke Rice

Brooke Rice is currently an internal medicine intern at Boston Medical Center. She is originally from Boston; she completed college at Harvard University and taught math in Morocco before attending medical school at the University of California, San Francisco, and then finally ending up back in Boston again. She is interested in medical education and clinical research, and outside the hospital she enjoys cooking (and eating) Italian food, reading true crime novels, and all the summertime activities.

Human Dx

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Special thanks to Drs. Zaven Sargsyan and Anand Patel for creating and editing the case.

Episode description

Dr. Chris Jackson presents a clinical unknown to Rabih

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Show notes

Dr. Chris Jackson

Dr. Chris Jackson serves as Assistant Professor of Medicine and Assistant Program Director for Ambulatory Education at the University of Tennessee Health Science Center (UTHSC). A native of Augusta, GA, he graduated from Emory University with a degree in Biology and Sociology. He received his Doctor of Medicine degree at the Medical College of Georgia. He completed his internal medicine and chief residency year in patient safety and quality improvement at UTHSC before joining the faculty in the Division of General Internal Medicine and the Center for Health System Improvement in 2019. Outside of work, he enjoys playing piano and watching forensic shows.

Twitter: @ChrisDJacksonMD 

Episode description

Dr. Zaven Sargsyan joins the CPSolvers to share his approach to supraventricular tachycardia

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AVNRT illness script

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Show Notes

Dr. Zaven Sargsyan

Dr. Zaven Sargsyan is a hospitalist and associate residency director at Baylor College of Medicine (BCM). He completed medical school at BCM and medicine residency at Massachusetts General Hospital, and now rounds at Ben Taub Hospital and the VA in Houston. His academic interests include clinical decision-making, physical diagnosis, point-of-care ultrasound, and the language of medicine. In his free time, he likes to play soccer and chess with his nephews and hang out with his wife and fellow clinical problem solver Steph Sherman.

Twitter: @sargsyanz

Episode description

The CPSolvers announce the launch of a new app.

Episode description

Dr. Luis Rubio presents a clinical unknown to Dr. Harry Hollander

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Show Notes

Dr. Harry Hollander

Dr. Hollander requested this brief bio:

Harry Hollander attends on the general medicine and infectious diseases services at UCSF.

We at the CPSolvers will add that:

Dr. Hollander is a beloved clinical educator who led the UCSF Internal Medicine program for 23 years, helping train over 1,000 residents. He is a consummate educator and a master clinician, who we are delighted to have on the final episode of our inaugural season.

Dr. Luis Rubio

Luis Alberto Rubio graduated from Yale School of Medicine and is originally from the West Texas town of El Paso. He is currently a third-year internal medicine resident at UCSF and next year will be starting his infectious disease fellowship at UCSF. His clinical interests include health care disparities, HIV, and loves all things related to tuberculosis. He is an avid Dallas Cowboys fan, and enjoys swimming, rock climbing, and dirt biking when away from the hospital.

Episode description

Dr. Janice Kwan presents a clinical unknown to Dan and Rabih

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Show Notes

Dr. Janice Kwan

Janice Kwan is a general internist and Assistant Professor of Medicine at the University of Toronto. After completing medical school and residency in her hometown at the University of Toronto, she pursued a Master of Public Health at Harvard University and a fellowship with the Veterans Affairs Quality Scholars program. In 2016, she was awarded the inaugural research fellowship in diagnostic excellence with the Society to Improve Diagnosis in Medicine. Her research focuses broadly on improving the quality of care of general medical patients, and includes the study of diagnostic safety, test result follow-up, computerized decision support systems, and medication reconciliation. Janice prides herself on being a passionate snack enthusiast, devoted family member, and loyal Toronto sports fan

Episode description

Rabih presents a Human Diagnosis Project  case to an outstanding team from the University of Minnesota  — Drs. Brinda Desai, Margot Zarin-Pass, and Andrew Olson.

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Human Dx case link: https://bit.ly/2X41TxR

Dr. Brinda Desai

Brinda Desai is a 4th year Med-Peds Resident at the University of Minnesota who will be the next Med-Peds chief. Her professional interests include: clinical medicine in the ICU, social determinants of health, congenital pediatric diseases surviving into adulthood, and advocating for women in medicine. In her free time, she is obsessed with Bollywood dance, bouldering, yoga with the intent to find ultimate zen, and exploring new places through local food and music!

Dr. Margot Zarin-Pass

Margot Zarin-Pass graduated from UCSF School of Medicine and is now a third year resident in Internal Medicine and Pediatrics at the University of Minnesota. Her career interests include transitions of care between pediatric and adult medicine as well as medical education. In her free time, she hangs out with her wife and toddler son, who is getting new skills and stronger opinions every day. 

Dr. Andrew Olson

Andrew Olson is an Associate Professor of Medicine and Pediatrics at the University of Minnesota Medical School. He grew up on a farm in Iowa and then attended medical school at the University of California, Davis, did an internship in medicine at UCSF, and then residency in Medicine and Pediatrics at the University of Minnesota.  A hospitalist, his work focuses on improving diagnostic performance through education as well as educational approaches to teach clinical reasoning.  He is the co-chair of the Education Section of the Society to Improve Diagnosis in Medicine.

Episode description

Rabih presents a Human Diagnosis Project case to Sharmin, Arsalan, and Reza.

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Link to case: https://bit.ly/2M9QfRo

Human Diagnosis Project

Learn more here

Episode description

Sharmin presents a Human Diagnosis Project case to Drs. Stephenie Le,  Harry Han and Rabih.

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Link to case: https://bit.ly/2YyhJBa

Dr. Stephenie Le 

Stephenie Le grew up in a small town in Ohio and attending college at the University of California, Berkeley and medical school at Albany Medical College in the beautiful upstate New York. She is currently a second year internal medicine resident at the University of California, San Francisco. She is interested in medical and clinician education, as well as clinical reasoning. In the future she plans to pursue additional specialty training in infectious diseases. 

In her spare time, she likes to explore the outdoors and loves various hiking and camping trips planned with friends and family.

Dr. Harry Han

Harry Han graduated from the Perelman School of Medicine at the University of Pennsylvania and is currently a second-year internal medicine resident at UCSF. His clinical interests include palliative care and oncology. When not in the hospital or clinic, Harry enjoys brunch, reliving his childhood through watching the original Magic School Bus on Netflix, and visiting museums

Human Diagnosis Project

Learn more here

Episode description

Dr. Emily Silverman, creator and host of The Nocturnists, presents a clinical unknown to Reza.

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Show Notes

Dr. Emily Silverman

Emily Silverman, MD is an academic hospitalist at the Zuckerberg San
Francisco General Hospital, where she seeks out projects that
resurrect the narrative soul of medicine. She is the creator and host
of the live show and podcast, The Nocturnists, where health
professionals share stories from the world of medicine. She wrote a
series of prose-poems based on her experiences as a resident, and is
currently working on her first book, a memoir. Her writing is animated
by a deep-seated curiosity about science, human nature, and what it
means to live and die well. In her spare time she enjoys teaching
herself how to play electric guitar, listening to podcasts, and
traveling with her husband Boaz. She tweets @ESilvermanMD.

Episode description

Dr. Malevanchik presents a clinical unknown to Dr. Winston

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Episodes 31&32 — show notes

Dr. Malevanchik

Dr. Lev Malevanchik completed medical school at Thomas Jefferson University and is finishing his third year of internal medicine residency at the University of California, San Francisco. This summer, he will start a fellowship in academic hospital medicine at UCSF focusing on medical education, point of care ultrasound, and improving the care of hospitalized patients with limited English proficiency. In his spare time, he loves going indoor rock climbing, listening to This American Life, and playing with his little dog Paprika.

Dr. Lisa Winston

Lisa Winston, MD is Professor of Medicine, Divisions of HIV/ID/Global Medicine and Hospital Medicine, University of California, San Francisco (UCSF). She completed medical school at the Johns Hopkins University School of Medicine. She was a resident in Internal Medicine, a chief resident, and a fellow in Infectious Diseases and Clinical Pharmacology at UCSF. She currently serves as the Vice Chief, Inpatient Medical Services and Hospital Epidemiologist at Zuckerberg San Francisco General Hospital and Trauma Center.

Dr. Winston works with the California Emerging Infections Program as the California Principal Investigator for a multi-site Clostridium difficile surveillance supported by the Centers for Disease Control and Prevention (CDC). She is a member of the steering group for the CDC’s Healthcare-Associated Infections Community Interface.

Dr. Winston has a long-standing interest in graduate and undergraduate medical education and was inducted into UCSF’s Academy of Medical Educators. She was also selected as a member of the UCSF Department of Medicine Council of Master Clinicians.

Episode description

Dr. Malevanchik presents a clinical unknown to Dr. Winston

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Episodes 31&32 — show notes

Dr. Malevanchik

Dr. Lev Malevanchik completed medical school at Thomas Jefferson University and is finishing his third year of internal medicine residency at the University of California, San Francisco. This summer, he will start a fellowship in academic hospital medicine at UCSF focusing on medical education, point of care ultrasound, and improving the care of hospitalized patients with limited English proficiency. In his spare time, he loves going indoor rock climbing, listening to This American Life, and playing with his little dog Paprika.

Dr. Lisa Winston

Lisa Winston, MD is Professor of Medicine, Divisions of HIV/ID/Global Medicine and Hospital Medicine, University of California, San Francisco (UCSF). She completed medical school at the Johns Hopkins University School of Medicine. She was a resident in Internal Medicine, a chief resident, and a fellow in Infectious Diseases and Clinical Pharmacology at UCSF. She currently serves as the Vice Chief, Inpatient Medical Services and Hospital Epidemiologist at Zuckerberg San Francisco General Hospital and Trauma Center.

Dr. Winston works with the California Emerging Infections Program as the California Principal Investigator for a multi-site Clostridium difficile surveillance supported by the Centers for Disease Control and Prevention (CDC). She is a member of the steering group for the CDC’s Healthcare-Associated Infections Community Interface.

Dr. Winston has a long-standing interest in graduate and undergraduate medical education and was inducted into UCSF’s Academy of Medical Educators. She was also selected as a member of the UCSF Department of Medicine Council of Master Clinicians.

Episode Description

The CPSers share an approach to anion gap metabolic acidosis

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Episode description

Hannah Abrams presents a Human Diagnosis Project case to Dan Minter and Rabih

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Link to the case: https://bit.ly/2L4ajnt

Dan Minter

Dan grew up in Gig Harbor, WA (a small town outside of Seattle). He studied neurobiology at the University of Washington and then spent a year in Argentina working in a basic science lab after graduation. He moved to San Francisco to attend medical school at UCSF. He stayed on for internal medicine residency and is currently in the middle of his intern year. He is considering fellowship in infectious diseases and ultimately wants to be a physician educator focusing on clinical reasoning. His hobbies include traveling, cooking, and jogging in golden gate park

Hannah Abrams

Hannah Abrams is a 3rd year medical student at Baylor College of Medicine, applying to Internal Medicine residency programs in the fall. In her spare time she rotates at Kashlak Memorial Hospital, home of the podcast The Curbsiders, where she is a social media editor and episode producer.

Human Diagnosis Project

Learn more here

Episode description

Rabih presents a Human Diagnosis Project case to Hannah and Reza

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Link to case: https://bit.ly/2UymGHK

Learn more here

Episode description

Arsalan and Sharmin go through a Human Diagnosis Project case

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Link to case: https://bit.ly/2Xqju2M

Learn more here

Episode description

Drs. Madeline Eckenrode and Bob Centor present a clinical unknown to Reza and Rabih

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Learning

Dr. Tony Breu’s outstanding tweetorial of this topic to be released on April 19, 2019

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Show notes

Dr. Madeline Eckenrode

Madeline Eckenrode graduated from Wake Forest School of Medicine and is a fourth year med-peds resident at the University of Alabama at Birmingham. She is passionate about medical education and is excited to be staying at UAB next year doing both adult primary care and pediatric hospital medicine. In her spare time she enjoys reading (and is proud of the book club she started in Birmingham), doing calligraphy, and traveling.

Dr. Robert Centor

Dr. Centor is Professor Emeritus of Internal Medicine at the University of Alabama at Birmingham, Chair Emeritus for the Board of Regents for the American College of Physicians (ACP) and a retired Dean working part-time at Huntsville and the VA in Alabama.

Episode description

Arsalan, Sharmin, Rabih and Reza share an approach to hypokalemia.

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References

Episode description 

Dr. Katie Sullivan presents a clinical unknown to Dr. Sarah Goglin

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Dr. Katie Sullivan

Dr. Sullivan graduated from the Pritzker School of Medicine at the University of Chicago. She is a 3rd year resident of the UCSF Internal Medicine Residency Program in San Francisco. Next year, Dr. Sullivan will stay at UCSF to be a chief resident internal medicine at the Zuckerberg San Francisco General Hospital. Her clinical interests include health care disparities, pulmonary & critical care, nutrition and medical education. When away from the hospital, she loves to cook, spend time in the ocean and listen to music.

Dr. Sarah Goglin

Dr. Goglin is assistant professor at UCSF in the division of rheumatology. She cares for patients at UCSF in the lupus and vasculitis clinics and at ZSFG in the general rheumatology clinic. She is involved in many aspects of UCSF medical student, medicine resident, and rheumatology fellow education, including serving as an assistant program director for the Internal Medicine Residency and directing the Rheumatology elective for fourth year medical students.

Episode description

Hannah Abrams presents a Human Diagnosis Project case to the CPSers.

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Hannah Abrams

Hannah Abrams is a 3rd year medical student at Baylor College of Medicine, applying to Internal Medicine residency programs in the fall. In her spare time she rotates at Kashlak Memorial Hospital, home of the podcast The Curbsiders, where she is a social media editor and episode producer.

Human Dx

Link to case: https://bit.ly/2TBQNh4

Learn more here

Episode description

Hannah Abrams presents a Human Diagnosis Project case to the CPSers.

Download CPSolvers App here

Hannah Abrams

Hannah Abrams is a 3rd year medical student at Baylor College of Medicine, applying to Internal Medicine residency programs in the fall. In her spare time she rotates at Kashlak Memorial Hospital, home of the podcast The Curbsiders, where she is a social media editor and episode producer.

Human Dx

Link to case: https://bit.ly/2FobsQO

Learn more here

Episode description

Dr. Daniel Restrepo joins the CPSers to share his approach to AKI.

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Tweetorial

Show notes

Dr. Daniel Restrepo

Dr. Daniel Restrepo is a Chief Resident at the Massachusetts General Hospital. He completed his undergraduate studies at the University of Florida before graduating from the University of South Florida College of Medicine and then pursuing a residency in Internal Medicine at MGH. Prior to rejoining the residency for a chief year, he served as an academic hospitalist in the MGH Hospital Medicine Unit attending on both teaching and non-teaching services. His primary interests include medical education, bedside teaching, physical diagnosis, POCUS and clinical reasoning. When not in the hospital he enjoys playing music, SCUBA diving and spending time with his wife and two dogs.

Episode description

Dr. Tom Goslinga presents a clinical unknown to Dr. Bob Centor.

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Show Notes

Dr. Tom Goslinga

Dr. Tom Goslinga graduated from the University of Michigan Medical School, and is a current Internal Medicine intern at UCSF. He’s from up north in Minnesota, and is glad to not be covered in feet of snow now that he lives in San Francisco.  He enjoys exploring the city while listening to audio books, rock climbing, and going on disastrous but memorable backpacking trips.

Dr. Bob Centor

Dr. Bob Centor is Professor Emeritus of Internal Medicine at the University of Alabama at Birmingham, Chair Emeritus for the Board of Regents for the American College of Physicians (ACP) and a retired Dean working part-time at Huntsville and the VA in Alabama. He is Chair of Medicine at Kashlak Memorial Hospital, home of the IM podcast – The Curbsiders. He is an expert diagnostician, teacher, and most importantly a kind and caring human being. Visit his popular blog http://medrants.com and twitter feed @medrants.

Episode description

Arsalan, Sharmin, Rabih and Reza share an approach to eosinophilia

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Tweetorial

Show Notes

References

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Tweetorial

Show Notes

References

Dr. Bryan Broderik

Dr. Broderick graduated from Rutgers New Jersey Medical School. He is a 2nd year resident of the Osler Internal Medicine Residency Training Program at Johns Hopkins Hospital. His career interests include Pulmonary & Critical Care Medicine and Medical Education. In his spare time, Dr. Broderick likes to work out, watch the New Jersey Devils, and binge watch Netflix series with his wife.

Dr. Zafia Anklesaria

Dr. Anklesaria graduated from the UCSF Internal Medicine Residency Program. She then completed Pulmonary and Critical care fellowship at UCLA. Her academic interests include clinical problem solving, diagnostic reasoning, resident education, and pulmonary hypertension. She is currently an intensivist at California Hospital, a level 1 trauma center in downtown LA. She is medical director of the pulmonary services at California hospital and is expanding her services into an outpatient pulmonary center. She works closely with family medicine residents on their ICU rotation and is involved in creating their curriculum and weekly didactic sessions on general internal medicine, pulmonary, and ICU topics. Outside the hospital her main passion is horses and horse riding. She also loves traveling around the world scuba diving, hiking with her dog (Dr Isaac Newton) and watching endless re reruns of friends.

Episode description

Hannah Abrams presents a Human Diagnosis Project case to the CPSers.

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Link to case

https://bit.ly/2BO9mIX

Human Diagnosis Project

Learn more here

Episode description

Hannah Abrams presents a Human Diagnosis Project case to the CPSers

Download CPSolvers App here

Link to Human Dx case

https://bit.ly/2SIbwUS

Guest

Hannah Abrams is a 3rd year medical student at Baylor College of Medicine, applying to Internal Medicine residency programs in the fall. In her spare time she rotates at Kashlak Memorial Hospital, home of the podcast The Curbsiders, where she is a social media editor and episode producer.

Episode description

The CPSers tackle a Human Diagnosis Project case

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Link to case

https://bit.ly/2UYYH5a

Human Diagnosis Project

Learn more here

Episode description

Sharmin, Arsalan, Rabih and Reza share an approach to hemolytic anemia.

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Schemas

Tweetorial

Show notes

References

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Tweetorial

Show notes

References

Guest

Dr. Fatimah Alkhunaizi graduated from Columbia School of Medicine and she is currently an internal medicine intern at Johns Hopkins Hospital.

Dr. Stephanie Sherman joins the CPSers to share her approach to syncope

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Tweetorial

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Guest

Dr. Stephanie Sherman is a clinician-educator at Baylor College of Medicine (BCM) at Ben Taub General Hospital and the Houston VA Medical Center. She completed medical school at the University of Michigan and internal medicine residency at Massachusetts General Hospital. At BCM, Steph is an associate program director for the internal medicine residency with a focus on resident-as-teacher training, clinical reasoning, and bedside rounding. She is also a contributing editor to the Human Diagnosis Project, an online case-solving platform. If she’s being truthful about how she spends her spare time, she most often finds herself re-watching The Office.

Arsalan, Sharmin, and Rabih present a clinical unknown to Reza.

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Illness Script

Show Notes

References

Sharmin, Arsalan, Rabih and Reza share an approach to abdominal pain.

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Schemas

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References

Dr. Kelly Arps presents a clinical unknown to Dr. Gurpreet Dhaliwal

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Show Notes

Dr. Arps graduated from Emory medical school. She is a 3rd year resident of the Osler Internal Medicine Residency Training Program at Johns Hopkins Hospital. She matched at Duke for cardiology fellowship next year. Her academic interests include cardiac critical care as well as research in primary and secondary cardiovascular prevention. In her spare time Dr. Arps likes to run, read biographies, and cook vegetarian dishes.

Dr. Dhaliwal is a clinician-educator and Professor of Medicine at the University of California, San Francisco. He is the site director of the internal medicine clerkship at the San Francisco VA Medical Center, where he teaches medical students and residents in the emergency department, urgent care clinic, inpatient wards, outpatient clinic, and morning report. His academic interests are the cognitive processes underlying diagnostic reasoning and clinical problem-solving and the study of diagnostic expertise. Dr. Dhaliwal enjoys playing pickup basketball with his two sons … even though both can handily defeat him

Episode description 

Dr. Bob Centor presents a case of hypercalcemia to Rabih and Reza.

Listen along and practice your hypercalcemia schema!

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Schemas

Show Notes

Robert Centor, MD

Dr. Centor is Professor Emeritus of Internal Medicine at the University of Alabama at Birmingham, Chair Emeritus for the Board of Regents for the American College of Physicians (ACP) and a retired Dean working part-time at Huntsville and the VA in Alabama.

Arsalan, Reza, Sharmin, and Rabih share an approach to hypercalcemia.

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Schemas

Show Notes

Dr. Centor’s NEJM CPS

Brizendine, K., Wells, J.M., Flanders, S.A., Saint, S. and Centor, R.M., 2010. In Search of… New England Journal of Medicine, 363(23), pp.2249-2254.

References

Dr. Erin Chew presents a clinical unknown to Rabih

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Schemas

Illness Script

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References

Erin Chew, M.D.

Dr. Chew graduated from Baylor College of Medicine. She is an intern in the Internal Medicine Residency Training Program at Johns Hopkins Hospital. She is from Orlando, Florida and enjoys family vacations at the beach, watching British dramas, and hanging out with her co-interns.

Sharmin, Arsalan, Rabih, and Reza discuss the case of a patient with jaundice.

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Reza presents a clinical unknown to Rabih.

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Illness Script

References

Rabih presents a clinical unknown to Reza.

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Illness Script

Tweetorial

References

Arsalan, Rabih, Reza, and Sharmin tackle a case of hyponatremia, and, as always, share a schema.

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Schemas

References

Arsalan, Rabih, Reza, and Sharmin discuss the case of an elderly patient with altered mental status.

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Schemas

References

Arsalan, Rabih, Reza, and Sharmin introduce themselves and discuss their motivations to work on the Clinical Problem Solvers