1Department of General Internal Medicine, Kobe City Medical Center General Hospital, Kobe, Japan;2Department of Medicine, University of California San Francisco, San Francisco, California;3Medical Service, San Francisco Veterans Affairs Medical Center, San Francisco, California;4Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
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The approach to clinical conundrums by an expert clinician is revealed through the presentation of an actual patient's case in an approach typical of a morning report. Similarly to patient care, sequential pieces of information are provided to the clinician, who is unfamiliar with the case. The focus is on the thought processes of both the clinical team caring for the patient and the discussant.Symbol This icon represents the patient's case. Each paragraph that follows represents the discussant's thoughts.