Why medical education assessment kills curiosity in residents

Sarah, a new attending, has been asked to work with June, a PGY-1 resident who has struggled with new admissions.

On rounds, June recommends a urinalysis for a patient with advanced dementia and new agitation.

“Why a UA?” Sarah asks.

“Behavior changes can indicate a urinary tract infection in older adults,” June replies, confident and fluent.

Inside, Sarah splits. She wants to teach, to pause, invite uncertainty, and help June reason through delirium and …

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Why medical education assessment kills curiosity in residents