Diagnosis: Teaching, Measuring, Innovating

The critical thinking required to diagnose a patient’s condition is fundamental to our work as internists. Yet if done poorly, diagnostic errors and inequities can deeply harm patients – in fact, studies have shown that several hundred thousand patients die or suffer major harm from diagnostic mistakes each year. In this Grand Rounds, we’ll have three expert faculty explore fundamental issues in diagnosis, each seen through their specialized lenses of research, informatics, and education. We will explore the measurement of diagnostic errors, the ability to harness AI to enhance diagnostic reasoning, and the future of diagnostic excellence. This year, our department became the home of a national Coordinating Center for Diagnostic Excellence (CoDEx), funded by a $15 million grant from the Gordon and Betty Moore Foundation.

Speakers
Julia Adler-Milstein, PhD, is a professor of Medicine, chief of the Division of Clinical Informatics & Digital Transformation (DoC-IT), and director of the Center for Clinical Informatics & Improvement Research (CLIIR). She is also leading CoDEx. Julia is a leading researcher in health IT policy, with a specific focus on electronic health records, interoperability, and the use of EHR data to study clinician behavior.

Andrew Auerbach, MD, MPH, is a professor of Medicine in the Division of Hospital Medicine. He is a widely recognized leader in Hospital Medicine, having authored seminal research describing effects of hospital medicine systems on patient outcomes, costs, and care quality. He leads a 13-hospital research collaborative (“HOMERuN”) focused on new discoveries in healthcare delivery models in acute care settings.

Gurpreet Dhaliwal, MD, is a clinician-educator and professor of Medicine. He is also site director of the internal medicine clerkship at the San Francisco VA Medical Center, where he teaches medical students and residents in the ED, urgent care clinic, inpatient wards, and outpatient clinic. He is a Master Clinician and an award-winning educator with a focus on the cognitive processes underlying diagnostic reasoning and clinical problem-solving and the study of diagnostic expertise.

Program
Bob Wachter: Introduction
4:30-20:10 — Gurpreet Dhaliwal, MD, clinician-educator and professor of Medicine
20:10-32:10 — Andrew Auerbach, MD, MPH, professor of Medicine in the Division of Hospital Medicine
32:10-45:15 — Julia Adler-Milstein, PhD, professor of Medicine, chief of the Division of Clinical Informatics & Digital Transformation (DoC-IT), and director of the Center for Clinical Informatics & Improvement Research (CLIIR)
45:15-1:04:50 — Q&A

See previous Medical Grand Rounds:
April 18: The Devastating Effect of Covid-19 on Patients with End-Stage Kidney Disease
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April 11: Immune Effector Cell Therapy in Hematologic Malignancies: Lessons Learned
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March 21: From Pipettes to Populations: Building an Integrated Program for ID Research and Education
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March 14: 31st Annual Alice Hamilton Lecture: Dust in the Lungs, an Ancient Disease Still with Us
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