Clinical Case Reflection 2

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

Compared with your first case, did anything feel different about your reasoning this 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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