Journal of general internal medicine
-
Management reasoning (MR) is a key domain of clinical reasoning that is distinct from the more heavily studied and taught diagnostic reasoning (DR). Despite MR's importance to patient care, there are few published strategies for incorporating MR education into the clinical learning environment. In this perspective, the authors review key theories and clinical principles relevant to MR and integrate these concepts with previously described tools for teaching MR to provide frontline clinical teachers with practical, theory-informed framework for teaching MR during inpatient rounds.
-
The USA has some of the highest costs of medical care in the world. Telemedicine has been proposed as an affordable alternative to traditional in-person care, increasing access to medical services. ⋯ This viewpoint discusses the equity implications of the expansion of direct-to-consumer telemedicine-only medical care or care, which takes place entirely in the virtual realm, often with no requirement for a previous patient-provider relationship. We propose an approach to digital health that looks beyond digital literacy and access to technology to consider systemic challenges to equitable implementation.