To take a randomly-generated presentation and practice diagnostic reasoning using different reasoning methods to generate a broad list of differential diagnoses. As more cards are drawn and more information becomes available, this differential diagnosis list will be refined. The game ends when it is no longer possible to explain all the information with a single diagnosis.
This game is not competitive. There is no ‘right’ answer. You win by sharpening your diagnostic reasoning skills.
This resource, under the branding “Clinical Reasoning: The Game”, was originally created by GP Synergy with the support of the Australian Commonwealth Government under the AGPT Program. To maximise accessibility, General Practice Supervision Australia (GPSA) has adapted the physical game to an online version under Intellectual Property rights granted in January 2023.
There are multiple approaches to diagnostic reasoning.
Randomly selecting a model avoids the temptation to fall back on a favoured approach.
The aim of this game is to explore different styles of thinking, and to find potential blind-spots or biases in your thinking. This is best done by giving a full effort to using the randomly-selected Reasoning Model, even if this is difficult.
To refresh the cards and ensure you are always randomly selecting the next one, use the 2-way arrow beneath the deck before clicking on the facing card.
It is possible to draw a combination of cards which do not make sense, usually due to a clash of the age or gender of the patient with a presenting complaint or observations.
If this happens, you can either consider a more appropriate similar presentation for the duration of the game e.g. consider “talking in short sentences” to mean “respiratory distress,” and proceed on this basis, or discard that card and draw another by clicking on the 2-way arrow icon beneath the card.
Refine your differential diagnosis based on this extra information: this may mean discarding diagnoses or adding new ones.
Choose another card from the Findings or Results deck and further refine your differential diagnoses.
If there is no single possible diagnosis (leaving you to conclude that the patient must have two or more conditions to explain all the information gathered)… the game ends!
Date reviewed: 17 October 2023
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