Publications by authors named "Brian Uthlaut"

4 Publications

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Re-thinking morbidity and mortality.

Diagnosis (Berl) 2020 Jul 6. Epub 2020 Jul 6.

Department of Medicine, University of Virginia Health System, Charlottesville, VA, USA.

Despite the breadth of patient safety initiatives, physicians talking about their mistakes to other physicians is a difficult thing to do. This difficulty may be exacerbated by a limited exposure to how to analyze and discuss mistakes and respond in a productive way. At the University of Virginia, we recognized the importance of understanding cognitive biases for residents in both their clinical and personal professional development. We re-designed our resident led morbidity and mortality (M&M) conference using a model that integrates dual-process theory and metacognition to promote informed reflection and analysis of cognitive diagnostic errors. We believe that structuring M&M in this way builds a culture that encourages reflection together to learn our most difficult diagnostic errors and to engage in where our thought processes went wrong. In slowly building this culture, we hope to inoculate residents with the habits of mind that can best protect them from harmful biases in their clinical reasoning while instilling a culture of self-reflection.
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http://dx.doi.org/10.1515/dx-2020-0040DOI Listing
July 2020

Reactive, Holistic, Proactive: Practical Applications of the AAIM Learning and Working Environment Conceptual Model.

Am J Med 2019 08 1;132(8):995-1000. Epub 2019 May 1.

Department of Internal Medicine, Warren Alpert Medical School of Brown University, Division of Hospitalist Medicine, The Miriam Hospital, Providence, RI.

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http://dx.doi.org/10.1016/j.amjmed.2019.04.004DOI Listing
August 2019

Nested Domains: A Global Conceptual Model for Optimizing the Clinical Learning Environment.

Am J Med 2019 07 3;132(7):886-891. Epub 2019 Apr 3.

Department of Medicine, Warren Alpert Medical School of Brown University, Division of Hospitalist Medicine, The Miriam Hospital, Providence, RI.

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http://dx.doi.org/10.1016/j.amjmed.2019.03.019DOI Listing
July 2019

An unusual presentation of Ehlers-Danlos syndrome vascular type with deep vein thrombosis: a case for multidisciplinary management.

Am J Med Genet A 2009 Feb;149A(4):698-701

Department of Internal Medicine, University of Virginia Health System, Charlottesville, Virginia 22908-0386, USA.

Ehlers-Danlos syndrome (EDS) vascular type typically presents with significant vascular complications such as rupture of blood vessels, gravid uterus, or intestinal perforation. We report on a 24-year-old female that presents with deep vein thrombosis found to be due to compression by a large posterior tibial artery pseudoaneurysm which ultimately leads to the patient's diagnosis. This case highlights the need for a multidisciplinary approach involving vascular surgery, internal medicine, genetics, and other health care providers for patients with vascular type EDS.
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http://dx.doi.org/10.1002/ajmg.a.32687DOI Listing
February 2009