Top Tweets for #dxex
for those well versed in #entropy as a construct of #DxEx, the highlighted finding below is not surprising
"efficiency" of information retrieval & entropy removal is the reasoning trace that differentiates an expert from a novice
the signal : noise ratio is optimized by being targeted in data collection
@andrewparsonsMD @shuhanhemd @doc_BLocke @ASanchez_PS
https://t.co/prBkFWFK5q
So fun to give @NebraskaEM Grand Rounds today! Thank you for letting me share our team's #Entropy research.
Raising the bar of #DxEx is my passion and there are so many opportunities at both the individual training and systems level.
Clinical compression is a bet on what is signal vs what is noise.
Expert priors are #1 predictor of useful compression - moreso than specialized knowledge, frameworks, or algorithms.
This is why medicine is so hard. You can train for years w/o being ‘good’ at diagnosis
#DxEx
Conference invite for my Diagnostic Excellence friends! ✨
You will recognize some faces ... @Mark_Heslin @MadellenaC @AdamRodmanMD
#DxEx
#DxEx proposal
PSUC serves as useful qual framework to categorize dx atypia across cases
Entropy serves as measurable quant framework to compute degree of dx atypia across cases
Hypothesis: Entropy ⬆️ from pattern 1 to pattern 4
@andrewparsonsMD @doc_BLocke @shuhanhemd
Defining atypicality in clinical presentations: an exceptional review by @HardeepSinghMD & co.
Next step: how to practically integrate atypia patterns into illness script development? 🐎🦓 🧠
The only utility of an odds ratio or RR in observational studies is to update your 🧠 to have higher or lower suspicion for associated findings.
Daily cannabis use raises my suspicion for MDD.
Are illness scripts just expected frequencies in a nutshell?
#BayesianBrain
#DxEx
Good docs actively seek to reduce log-loss (avoidable surprise)
Great docs recognize when surprise is unavoidable (high log-loss) & plan accordingly to weather the incoming ⛈️ of unpredictability
#DxEx
1/2
To privilege pathophys above other constructs of diagnostic reasoning is to be agnostic (or naive) to the amount of surprise inherent in medicine.
Here's a better approach, consistent w/ how clinical decisions are made irl👇
Analytical phys is only a piece of the puzzle
#DxEx
Here's the latest guidance on the clinical approach to dizziness👇
I think it's time for an information theoretic approach to diagnostic excellence #DxEx
https://t.co/AAuAAavIdi
This diagnostic reasoning question has been asked many times over the past 30 years but #AI is a game changer in #MedEd
Come find out how and why at 11:30am today to learn more about novel quantitative signatures of #diagnosticexcellence ; Rm 205B
#DxEx
NYT: It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead. https://t.co/uBFKGc5oWs via @NYTimes
Excited to be selected for Cohort 2 of @NIH @AIM_AHEAD CLINAQ prog & work w/fellow @Regenstrief scientists @shaun_grannis & @dpugrad01!
Thank you fellow @theNAMedicine / @CMSSmed #DxEx scholars for helping inspire + refine our thinking on #adaptivebenchmarking of AI/ML models.
#Diagnosticreasoning
#DxEx
How much information is required to cross a decision threshold?
Stay tuned. We’ll calculate it.
In context. It from bit 🤖
Single most actionable step to improve diagnostic reasoning?
- Establish / explore context at symptom onset
Single most actionable step to improve prognostic reasoning?
- Understand tempo / trajectory
#Problemrepgaps
#DxEx
Doctors overwhelmingly recognize the value of Hickham’s Dictum, but rarely publish case reports in the literature.
#DxEx
Scientists overwhelmingly recognize the value of sharing null results, but rarely publish them in the research literature
https://t.co/1hHDfFFoh3
A conjecture on #DxEx:
#parsimony is in the inverse of #entropy
No more info to be gained. A single elegant explanation
The sharpest collapse of entropy = Augenblick dx⚡️
A sudden, euphoric warmth is felt. One day this feeling will be measurable like Landauers limit 🔥
A transformative 2-day @theNAMedicine scholars symposium with @CMSSmed . Looking forward to future collaborations with newfound friends and growing the field of #DxEx. #Networking #Collaboration #LeadershipGoals
Could not be more grateful to the stellar leaders who made this happen & @theNAMedicine / @MooreFound / @HelenBurstin for bringing #DxEx to the forefront across specialties! 🙏🙏
Stay tuned for more in this space🤓
👀➡️ https://t.co/4djBSIIQvd
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