# #183 Diagnose the Clinician: Hoofbeats Segment Page: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/183-diagnose-the-clinician-hoofbeats-segment Text version: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/183-diagnose-the-clinician-hoofbeats-segment.md Podcast: [Core IM | Internal Medicine Podcast](https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389) Published: 2025-07-21T08:44:51+00:00 Episode link: https://www.coreimpodcast.com/2025/07/21/diagnose-the-clinician-hoofbeats-segment Audio file: https://pscrb.fm/rss/p/audio2.redcircle.com/episodes/9d0eab20-b5e1-45a0-aab1-d128e24145cb/stream.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/183-diagnose-the-clinician-hoofbeats-segment Duration seconds: 1991 ## Resource What went wrong? What were the reasoning or contextual missteps that led us astray? 🔹 Sponsor : NEJM Fellowship Program, click here to learn more and/or apply ! Due Aug 1, 2025 🔹 Transcript and Show Notes Timestamps: (00:02) | Case Presentation and Initial Diagnosis (02:47) | Tachycardia and Early Impressions (04:10) | Clinical Deterioration and New Clues (07:19) | Problem Representation and Reflection (21:45) | Lessons on Reasoning and Bias (26:55) | Final Takeaways and Action Steps Tags: Clinical Reasoning, Internal Medicine, Diagnostic Accuracy, Hoofbeats, Cognitive Bias, Medical Education, Illness Scripts Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS: https://wearfigs.com * Click for 15% off Premium Starter Kit at Branch Basics: https://branchbasics.com/COREIM Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/183-diagnose-the-clinician-hoofbeats-segment/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/183-diagnose-the-clinician-hoofbeats-segment.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.