title: Emergency Physicians Think in Spirals.
abstract: As adult learners, junior clerks on core rotations in emergency medicine (EM) are expected to "own" their patients and follow them from presentation to disposition in the Emergency Department (ED). Traditionally, we teach clerks to present an exhaustive linear list of symptoms and signs to their preceptors. This does not apply well to the fast-paced ED setting. Mnemonics have been developed to teach clerks how to present succinctly and cohesively. To address the need for continual patient reassessment throughout the patient's journey in the ED, we propose a complimentary approach called SPIRAL.
authors.affiliation: Emergency Medicine, Memorial University of Newfoundland.
authors.forename: Tia
authors.initials: T
authors.lastname: Renouf
authors.affiliation: Emergency Medicine, Memorial University of Newfoundland.
authors.forename: Desmond
authors.initials: D
authors.lastname: Whalen
authors.affiliation: Emergency Medicine, Memorial University of Newfoundland ; Clinical Learning and Simulation Centre, Memorial University of Newfoundland.
authors.forename: Megan
authors.initials: M
authors.lastname: Pollard
authors.affiliation: Emergency Medicine, Pediatrics, Memorial University of Newfoundland ; Marine Institute, Memorial University of Newfoundland.
authors.forename: Adam
authors.initials: A
authors.lastname: Dubrowski
keywords: clinical reasoning; emergency medicine; rapid; simulation; snapps; spiral