Core IM | Internal Medicine Podcast

Core IM | Internal Medicine Podcast


#79 Struggles with Clinical Reasoning: Hoofbeats Segment

December 09, 2020


Can you identify where along the clinical reasoning pathway the learner is struggling? What coaching exercises can be helpful? What feedback do you fall back on when working with learners? What are common challenges?


Show notes, Transcript and References: https://www.coreimpodcast.com/2020/12/09/hoofbeats-strugg…inical-reasoning/


ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im


Time Stamps:



  • 00:00 Introduction
  • 03:33 Mental Health & Wellbeing
  • 06:43 Case 1
  • 11:48 Exercise 1
  • 12:53 Exercise 2
  • 14:35 Case 2
  • 19:15 Exercise 3
  • 21:22 Exercise 4
  • 23:24 Case 3
  • 27:29 Exercise 5
  • 28:07 Exercise 6
  • 29:24 Conclusion

Tags: CoreIM, IM Core, problem representation, coaching exercises, data gathering, hypothesis generation, clinical reasoning, faculty development