For thrombocytopenia in the hospitalized patient
Practice separating terrain, stance, and visible action.
1. How this module fits in Consult Practice
| Lens | What it contributes here |
|---|---|
| Orientation | Defines the terrain |
| Thinking | Assigns stance |
| Execution | Makes action and communication explicit |
2. What this module is for
To help trainees and clinicians practice separating terrain, posture, and behavior.
3. How to use this module
Use as a rapid teaching or reflection tool during rounds or consult work.
4. Why this matters
Consult errors are usually failures of category discipline, not failures of knowledge.
5. Core Content
Category reminder:
Orientation = defines the clinical world
Thinking = assigns weight and posture
Execution = makes judgment visible through action and communication
| Clinical statement | Domain | Why |
|---|---|---|
| “Platelets fell from 120 to 48 overnight.” | Orientation | Defines tempo |
| “This might represent a high-risk consumptive process.” | Thinking | Assigns stance |
| “Repeat CBC and review medications now.” | Execution | Visible action |
| “Smear shows platelet clumping only.” | Orientation | Defines terrain |
| “We will reassess daily and release concern if counts recover.” | Thinking | Posture revision |
Teaching prompt:
Which findings define where you are operating, which define how to reason, and which define what must become visible?
6. Bottom line
This module reinforces clear separation of Orientation, Thinking, and Execution in real clinical time.