Dr. Sandra Monteiro is an Associate Professor for the Department of Medicine. She is also the Director of Scholarship, Centre for Simulation Based Learning and Scientist, MERIT, McMaster University. She earned her PhD in Cognitive Psychology from McMaster University and continues to apply that lens to defining health professions education goals, outcomes and challenges. Using this approach, she has created a 10-year research program on clinical reasoning. She also uses her knowledge of measurement and subjective constructs to explore ways to improve competency-based assessment.

In this week's core session of Grand Rounds, Dr. Monteiro engages attendees in a discussion about two popular proposals to enhance the expert clinician. First, is the premise that if clinicians partner with technology, such as electronic diagnosis support systems, diagnosis will improve. Second is the premise that a modern-day clinical consult, such as seeking input through social media from diverse and possibly anonymous clinicians, can improve diagnosis. An example of this is crowdsourcing for a differential, and understanding these proposals' cognitive and resource implications is critical.