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Logan AA, Rao M, Cornia PB, et al. Virtual Interactive Case-Based Education (VICE): A Conference for Deliberate Practice of Diagnostic Reasoning. MedEdPORTAL. 2021;17:11159doi: 10.15766/mep_2374-8265.11159.
Logan, A. A., Rao, M., Cornia, P. B., Hagan, S. L., Newman, T. A., Redinger, J. W., Woan, J., & Albert, T. J. (2021). Virtual Interactive Case-Based Education (VICE): A Conference for Deliberate Practice of Diagnostic Reasoning. MedEdPORTAL : the journal of teaching and learning resources, 1711159. https://doi.org/10.15766/mep_2374-8265.11159
Logan, Alexander A, et al. "Virtual Interactive Case-Based Education (VICE): A Conference for Deliberate Practice of Diagnostic Reasoning." MedEdPORTAL : the journal of teaching and learning resources vol. 17 (2021): 11159. doi: https://doi.org/10.15766/mep_2374-8265.11159
Logan AA, Rao M, Cornia PB, Hagan SL, Newman TA, Redinger JW, Woan J, Albert TJ. Virtual Interactive Case-Based Education (VICE): A Conference for Deliberate Practice of Diagnostic Reasoning. MedEdPORTAL. 2021 May 19;17:11159. doi: 10.15766/mep_2374-8265.11159. PMID: 34079908; PMCID: PMC8131415.
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MedEdPORTAL. 2021 May 19;17:11159. doi: 10.15766/mep_2374-8265.11159.

Virtual Interactive Case-Based Education (VICE): A Conference for Deliberate Practice of Diagnostic Reasoning.

MedEdPORTAL : the journal of teaching and learning resources

Alexander A Logan, Mayuree Rao, Paul B Cornia, Scott L Hagan, Thomas A Newman, Jeffrey W Redinger, Jessica Woan, Tyler J Albert

Affiliations

  1. Clinical Instructor, Division of Hospital Medicine, Zuckerberg San Francisco General Hospital, University of California, San Francisco.
  2. Fellow, Department of Medicine, VA Puget Sound Health Care System and University of Washington.
  3. Associate Professor, Department of Medicine, University of Washington; Section Head for Hospital Medicine, VA Puget Sound Health Care System.
  4. Acting Assistant Professor, Department of Medicine, University of Washington; Medical Director, Seattle VA Primary Care Clinic, VA Puget Sound Health Care System.
  5. Clinical Instructor, Department of Medicine, University of Washington; Attending Physician, VA Puget Sound Health Care System.
  6. Clinical Assistant Professor, Department of Medicine, University of Washington; Attending Physician, VA Puget Sound Health Care System.
  7. Assistant Professor, Department of Medicine, University of Washington; Attending Physician, VA Puget Sound Health Care System.

PMID: 34079908 PMCID: PMC8131415 DOI: 10.15766/mep_2374-8265.11159

Abstract

INTRODUCTION: Current approaches to teaching diagnostic reasoning minimally address the need for deliberate practice. We developed an educational conference for internal medicine residents to practice diagnostic reasoning and examine how biases affect their differential diagnoses through cognitive autopsies.

METHODS: We formatted the Virtual Interactive Case-Based Education (VICE) conference as a clinical problem-solving exercise, in which a facilitator presents a case to a single discussant selected from the audience. We delivered VICE on an internet-based conferencing platform with screen-sharing capability over approximately 30 minutes. To maximize learners' psychological safety, we employed an active facilitation model that normalized uncertainty and prioritized the diagnostic process over arriving at the correct diagnosis.

RESULTS: Resident attitudes toward VICE were assessed by utilizing a postconference survey and gathering descriptive data for 11 sessions. Ninety-seven percent of respondents (

DISCUSSION: Internal medicine residents universally valued the opportunity to engage in deliberate practice of case-based reasoning in a psychologically safe environment during the VICE conference. The virtual nature of the conference contributed significantly to discussants' positive experience. This resource includes all materials necessary to implement VICE, as well as an instructional video on facilitation.

© 2021 Logan et al.

Keywords: COVID-19; Clinical Competence; Clinical Reasoning/Diagnostic Reasoning; Cognitive Biases; Deliberate Practice; Diagnostic Schema; Problem Representations; Virtual Learning

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