You don't need to know the diagnosis the second your patient walks through the door. Your job is to build a list. What could this be? What doesn't fit? What do I need to rule out? What do I need to ask next? I think as new grads we put enormous pressure on ourselves to know the answer. 20 years into practice, I don't walk into every consultation knowing the answer. I start with possibilities. Then every question I ask and every test I perform should help move something up or down my differential list. That's clinical reasoning. It's not knowing everything. It's knowing what to do next when you don't know. And THAT is a skill you get better at with practice. 👇 New grads — what part of a consultation do you currently second-guess the most? A. Building your differentials B. Knowing what to ask in the history C. Knowing what to test D. Deciding what/how to treat E. Management & what to tell the patient Drop your letter below. 👇

The best way to learn is to stretch your thinking! Exercise your clinical reasoning! A 32-year-old female presents with unilateral buttock pain. • Started 3 weeks ago. • Worse rolling in bed. • Pain getting out of the car. • No lower limb neurological symptoms. 👇 Before you even touch the patient... What are your top three differential diagnoses? Don't overthink it—just based on the history. 🩺 Bonus question: What's the first question you'd ask next, and why? I'll jump into the comments later today with my thought process and how I'd begin narrowing the differential. Let's see how everyone approaches it.

Ciao a tutti! Possiamo parlare di osteopatia strutturale in particolare con benefici di tecniche hvla e non solo!? chi le usa e chi no? io sono qui😊

It's been a while... Life got busy. Clinic got busy. Kids got busy. And somewhere along the way, this community became quieter than I ever intended. But something has been sitting with me for months... After nearly 20 years in practice, I realised the thing I enjoy most isn't treating patients anymore. It's teaching clinicians how to think. Not just how to do a technique. Not how to memorise a special test. But how to walk into a room, assess a patient and confidently know where to go next. So that's what this community is about. Over the coming weeks I'll be sharing clinical reasoning, case discussions and practical frameworks that you can take straight into clinic. If you're a student, new grad or simply want to become a more confident clinician... Welcome. It's good to be back. 👇 Tell me! Who are you?!?! How long have you been practising?