“The ‘I Don’t Know’ Moment”, written by TMC Fellowship alumnus Dr. Benjamin Frush, MD.

TMC Fellowship alumnus Benjamin Frush, MD, published an article entitled  The ‘I Don’t Know’ Moment” in the January 2021 issue of Academic Medicine. Frush is a third-year resident in Internal Medicine-Pediatrics at Vanderbilt University Medical Center and Monroe Carell Jr. Children’s Hospital in Nashville, Tennessee. Excerpt below:


“What should we do?” Mike, an intern on the team, asks as he looks toward me expectantly. It is my first week as a supervising resident, and I realize that this is the moment I have been dreading since my intern year ended. The patient in question is a medically complex gentleman admitted for transient hypothermia, and we are deciding whether a full sepsis workup is indicated.

This is an unprecedented clinical scenario for me. I lack a trusty illness script or diagnostic schema to draw upon. A quick perusal of UpToDate offers little guidance. So now I am faced with dual dilemmas; not only with what to do for this patient, but also with how to display (or obscure) this gap in my medical knowledge to Mike….

Read the complete article here.