The last competency is the most difficult, collaborative crosschecking. This is assertively - but not aggressively - questioning whether a change needs to be made in a diagnosis, treatment plan, or prognosis. Attending physicians during patient handovers spend almost 20% of their time doing this for complex patients, whereas resident physicians can often feel uncomfortable questioning the critical thinking processes of their peers. If done well, the outgoing physician should be open and non-defensive when alternative diagnoses or better treatment plans are suggested.
questions as well as playing . Ensure that plan is , that have been considered, or to reveal the behind the plan.
© Weiss Patterson, 2013