Ever had a case where you just knew what was wrong before you even touched the patient - but if someone asked you HOW you know, you couldn’t explain it? That almost mystical “sixth sense” we develop in practice - that’s exactly what this episode is about. Our guest is Dr Annie Wayne - a criticalist, educator, and learning strategist—who’s been exploring naturalistic decision making: the cognitive model that explains how experts think in real-time, and how to pass that intuition on.We talk about what separates expert intuition from novice reasoning, how to break down unconscious diagnostic processes, and how the right kind of mentorship can accelerate the path to expertise. Annie also shares her research on parenting and vet careers, challenging the stigma around pregnancy and parenthood during training.Here’s what you’ll learn:What “naturalistic decision making” really means (and why it feels like a sixth sense)How experienced vets spot subtle signs that others missHow to externalise your gut feeling so younger vets can learn from itReal-world strategies for mentorship and better clinical teachingHow to avoid the traps of lazy “shortcut” thinkingHow this framework builds confidence and reduces stress in new gradsAnnie’s personal take on parenting through training—and how to smash the stigma around pregnancy in vet careersThis isn’t just about clinical decision-making - it’s about how we teach, how we lead, and how we support each other in a demanding profession.Lift your clinical game with our RACE approved clinical podcasts at ⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠⁠⁠⁠⁠cutabove.supercast.com⁠⁠⁠⁠⁠. Get case support from our team of specialists in our ⁠⁠⁠⁠⁠Specialist Support Space⁠⁠⁠⁠⁠.⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠for Hubert's favourite clinical and non-clinical learnings from the week.Join us in person for our epic adventure CE events at ⁠⁠⁠Vets On Tour⁠⁠⁠. (Next up: Japan snow conference!) Topics and Time Stamps04:53 What is Naturalistic Decision-Making?08:36 Expert vs Novice Thinking: Why Mentorship Matters15:55 Risks of Shortcut Thinking and Balancing with Algorithms19:11 Speeding Up Expertise: Can We Teach "Sixth Sense" Thinking?22:47 Mentorship Models: Building Skills and Confidence34:45 Can AI Help Naturalistic Thinking?37:20 Parenthood and Veterinary Careers: Breaking Stigma and Building Support

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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