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MEdIC Series: The Case of the Justified Junior – Expert & Community Commentary


TeachingChan190The Case of the Justified Junior presented a case of a learner that disagrees with his senior resident,  a senior resident that may be biased in her decision making, and an attending faced with the opportunity to teach around this whole situation. And at the center of it all, we have a patient that may be at risk if the wrong decision is made.

In keeping with our mandate with the MEdIC series, we launched this case last week and waited for the crowd to speak up and help us solve the case. We also asked two esteemed colleagues to prepare some expert consultations on the case.  Continue reading to see what they thought.

This month Eve Purdy (@purdy_eve) and I (@TChanMD) lead a discussion that explored a very complex scenario, and solicited with insights from the ALiEM community and 2 experts. This follow-up post includes:

  • The responses of our medical education experts, Drs. Heather Murray (@HeatherM211) and Megan Ranney (@MeganRanney)
  • A summary of insights from the ALiEM community derived from the Twitter  and blog discussions
  • Freely downloadable PDF versions of the case and expert responses for use in continuing medical education activities
Expert response 1: Making Better Decisions
Expert response 2: Power Dynamics, Communication, and Trust
The Case of the Justified Junior: Curated from the Community

Thank-you to all the participants

All of the community participants (in alphabetical order) that participated in our discussions this week were:
Dave Beam (@ER_Beamer),
Teresa Chan (@TChanMD),
Fran Crawford (@FranCrawford1)
Nadim Lalani (@ERmentor),
Gracie Leo (@Gracie_Leo)
Michelle Lin (@M_Lin)
Eve Purdy (@Purdy_Eve)
Madhusree Singh (@Thinkalot)

Case and Responses Available for Download

Click Here (or on the picture below) to download the case and responses as a PDF.

medic document

Teresa Chan, MD
ALiEM Associate Editor
Emergency Physician, Hamilton
Assistant Professor, McMaster University
Ontario, Canada + Teresa Chan