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This printable or digital resource is designed to help you deliberately strengthen your clinical decision-making skills over time. It’s structured like a fitness plan — because confidence and clarity come from consistent reps, not just experience. You will use a combination of weekly challenges, decision log, confidence tracking and debriefing.
Weekly Challenges (4-week cycle)
Each week includes a challenge to stretch your decision-making comfort zone:
|
Week |
Challenge |
Purpose |
|---|---|---|
|
1 |
Make a clinical decision without double-checking (when safe) |
Build trust in your own judgment |
|
2 |
Debrief a tough decision with a peer or mentor |
Normalize reflection and feedback |
|
3 |
Document a decision you deferred — and why |
Explore boundaries and escalation |
|
4 |
Review a past decision that didn’t go well |
Learn from missteps without shame |
Decision Log Template
It is useful to keep a record of your decision making. This helps you identify where you can improve, documents your progress and is also an important tool as a doctor to make a habit of keeping a work diary.
Below are suggested prompts to use this to track and reflect on key decisions:
Situation: [Brief clinical context]
Reasoning: [What led to your decision?]
Evidence used: [Guidelines, experience, advice]
Outcome: [What happened?]
Reflection: [What did you learn? What would you do differently?]
Confidence Tracker
In a separate table or graph, rate your confidence before and after each decision (scale of 1–10). Over time, this helps visualize growth and identify patterns.
Debrief Prompts for feedback
Use these in supervision, peer discussions or self-reflection:
- “What was the hardest part of making that decision?”
- “What would you do if you had to make this decision again tomorrow?”
- “Did anything surprise you about the outcome of the decision you made?”