Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation

Diagnosis (Berl). 2021 Feb 3. doi: 10.1515/dx-2020-0129. Online ahead of print.


Reflective practice is essential for the ongoing maturation of clinicians and requires regular self-evaluation in association with ongoing mentoring and feedback. Currently, most resident physicians do not have access to educational experiences that fulfill these needs. We present a novel model for structured one-on-one longitudinal coaching using the principles of deliberate practice to improve diagnostic skills. This is an easily implementable educational model that can be replicated in residencies across the country to improve clinical reasoning. Skills learned through this program have the potential not only to bolster the academic approach to patients but to also directly improve the clinical assessment and care of patients under the trainee's care.

Keywords: clinical reasoning; deliberate practice; diagnostic coaching; feedback; graduate medical education; internal medicine.