Clinical Case Reflection 1

Make your reasoning visible

1

THE DECISION

What clinical decision were you trying to make?

Briefly describe the clinical situation and the decision you were working towards.

2

Pause

Was there anything you initially assumed about this case?

What was your first impression, expectation or working interpretation?

3

MAP + FILTER

Which information genuinely influenced your reasoning?

Focus on information that affected the decision rather than simply listing everything you found.

4

IDENTIFY DRIVER

What carried the greatest weight?

Which finding, factor or interaction of factors exerted the greatest influence over the decision?

5

TEST

What challenged your interpretation?

Did anything conflict with, test or change your initial thinking? What would have made you reconsider your working interpretation?

6

RISK CHECK + SET THRESHOLD

Was your decision proportionate to the level of clinical risk? Why?

Did you feel you had enough information or certainty to act?

○ Yes

○ No

○ I wasn’t completely certain, but I had enough to make a proportionate decision

7

JUSTIFY: THE DECISION

What clinical decision did you make?

8

JUSTIFY: WHY?

Why was that the most appropriate next step based on the information available?

9

REFLECT + CARRY FORWARD

Would anything from this case influence how you approach a similar situation next time?

10

CONFIDENCE

How confident are you that you could clearly justify your clinical decision?

Choose a score from 1 to 10.

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