3. Prioritize a differential diagnosis following a clinical encounter (linked roles: EXP, SCH)

EPA3.1Synthesize essential data from previous records, integrate the information derived from history, meaningful physical and mental symptoms and physical exam; provide initial diagnostic evaluations; take into account the age, gender and psychosocial context of the patient as well as social determinants of health
EPA3.2Assess the degree of urgency of any complaint, symptom or situation
EPA3.3Demonstrate awareness of multimorbidity and atypical presentation of disease, especially in elderly patients
EPA3.4Integrate the scientific foundations of basic medical sciences as well as epidemiological information (probability of diseases) into clinical reasoning, in order to develop a differential diagnosis and a working diagnosis, organized in a meaningful hierarchical way
EPA3.5Engage with supervisors and team members for endorsement and confirmation of the working diagnosis; explain and document the clinical reasoning that led to the working diagnosis; demonstrate critical thinking with regard to differential diagnosis
EPA3.6Manage ambiguity in a differential diagnosis for oneself and the patient; respond openly to questions from patients and members of the healthcare team; continuously update differential diagnosis