Physician Wellbeing Burnout AND Professional Resilience — Clinical Case

DCE Long Case

Patient brief

Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Physician Wellbeing Burnout AND Professional Resilience. ^[4]

Presenting complaint: Subacute or acute symptoms referable to Physician Wellbeing Burnout AND Professional Resilience, with enough detail to force prioritisation. ^{[4] [1]}

Past history: Common cardiometabolic and organ comorbidities that interact with the plan. ^[1]

Medications: A polypharmacy list that includes at least one interaction or dosing issue. ^[1]

Examination: Key positives and critical negatives for dangerous differentials. ^[4]

Investigations: A small set of results that change management. ^{[4] [1]}

Tasks

1. Present a prioritised problem list. ^[4]
2. Defend investigations and immediate therapy. ^{[4] [1]}
3. Provide safety-net and follow-up advice. ^[1]

Model discussion points

• Working diagnosis and acuity. ^[4]
• Differentials and discriminators. ^[1]
• Treatment sequence and monitoring. ^{[4] [1] [2]}
• Multimorbidity and communication. ^[1]