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Licensed Unlicensed Requires Authentication Published by De Gruyter February 3, 2021

Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation

  • Pranay Sinha ORCID logo , Lauren Pischel ORCID logo and André N. Sofair
From the journal Diagnosis


Reflective practice is essential for the ongoing maturation of clinicians and requires regular self-evaluation in association with ongoing mentoring and feedback. Currently, most resident physicians do not have access to educational experiences that fulfill these needs. We present a novel model for structured one-on-one longitudinal coaching using the principles of deliberate practice to improve diagnostic skills. This is an easily implementable educational model that can be replicated in residencies across the country to improve clinical reasoning. Skills learned through this program have the potential not only to bolster the academic approach to patients but to also directly improve the clinical assessment and care of patients under the trainee’s care.

Corresponding author: Pranay Sinha, MD, Section of Infectious Diseases, Boston University School of Medicine, 801 Massachusetts Ave, Crosstown Center, 2021A, Boston, MA, 02118, USA, Phone: +1 (516) 633 9920, E-mail:

Funding source: National Institutes of Health

Award Identifier / Grant number: 5T32 AI-052074-13

  1. Research funding: PS was supported by a grant from the NIH (5T32 AI-052074-13).

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.


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Received: 2020-09-27
Accepted: 2020-12-27
Published Online: 2021-02-03
Published in Print: 2021-05-26

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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