Being a Novice Reporter
Michael has completed the preclinical courses for medical school and has passed all of his examinations with above-average scores. Six months into his first clinical year, he became frustrated by his clinical grades. He was no longer honouring courses but just passing all of his rotations. He sat down to review all of the feedback and evaluations that he had received, trying to determine how to improve his grades. A common theme emerged: 1) His presentations were too long, yet he missed key questions; 2) His physical examinations were always the same; and 3) He needed to work hard on creating differentials. In sum, he had the necessary medical knowledge but could not apply it to individual patients and could not synthesize patient cases succinctly. Per the RIME developmental model (reporter, interpreter, manager, educator), Michael was a novice reporter but struggled to interpret information.
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