Root-Cause Diagnosis
Dr. Youssef's performance record keeps deteriorating. Four pieces of evidence have just landed in his e-portfolio. You must analyze the data vectors to uncover the root cause.
Decision 1 of 2
1 of 2
Diagnose the Declining Performance
Mini-CEX
Borderline Fail
Trainee struggled to articulate a structured differential diagnosis for chronic abdominal pain.
Clinic Logbooks
Omissions Logged
Zero logbook entries for the Pediatric Care Unit over the last three weeks.
Incident Reports
Repeated Pattern
Missed three morning handovers this month without prior notification or coverage.
Patient Survey
Positive
“Dr. Youssef was so kind and thorough. Best doctor I've seen at this clinic.”
Which diagnostic track best explains the overall pattern?
Decision 2 of 2
2 of 2
Prioritize the Strongest Evidence
Working diagnosis
Wellbeing & Professionalism Cross-Flag
The record contains several different signals. Your next task is to identify which evidence most strongly supports the diagnosis.
Which evidence should carry the greatest diagnostic weight?
Diagnostic Summary
Root-Cause Diagnostic Framework
A defensible diagnosis should come from the pattern across the evidence, not from the loudest single data point.
1
Triangulate
Use multiple independent evidence sources before naming the root cause.
2
Differentiate
Ask whether the pattern is best explained by knowledge, skill, or wellbeing and professionalism.
3
Prioritize
Give greater weight to repeated behavioral patterns than to a single isolated score.
Result
The wellbeing pathway should be activated first; academic remediation can be reconsidered after the underlying distress is addressed.
Activity Complete
You diagnosed the pattern of underperformance using multiple evidence sources and prioritized the evidence that best supported the root cause.