Programs
Departments & Divisions
Temple A. Ratcliffe, MD
Associate Professor / Clinical
Temple A. Ratcliffe is an Associate Professor / Clinical at UT Health San Antonio in the Division of General and Hospital Medicine. He joined the faculty at University Hospital in July 2014 and serves as both Director of the Internal Medicine Clerkship and as the Long School of Medicine’s representative on Linking Interprofessional Networks for Collaboration. Dr. Ratcliffe received his M.D from University of Pittsburgh School of Medicine in 2003. He completed Residency from San Antonio Uniformed Services Health Education Consortium Willford Hall Med in 2006. In 2017, Dr. Ratcliffe was inducted into the Gold Humanism Society as a Faculty Member. He was awarded UT Presidential Award Sustained Excellence in Teaching on March 2020. Dr. Ratcliffe maintains active clinical service in hospital medicine at both University Hospital and the Audie L. Murphy VA Hospital on both teaching and non-teaching inpatient General Medicine services and Medicine Consult service.
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Professional Background
Education
- 2006 - Residency - Internal Medicine - San Antonio Uniformed Services Health Education Consortium Wilford Hall Med
- 2003 - Doctor of Medicine - University of Pittsburgh School of Medicine
Appointments
- 9/2016 - Present - Associate Professor / Clinical - UT Health San Antonio
- 7/2014 - Present - Staff Physician - University Hospital, Medicine, San Antonio
- 7/2014 - Present - Staff Physician - South Texas Veterans Health Care System, Medicine, San Antonio
- 07/2014 - 08/2016 - Assistant Professor/Clinical - UT Health San Antonio
- 07/2006 - 06/2014 - Assistant Professor of Medicine - Uniformed Services University Edward Hebert School of Medicine
- 07/2006 - 06/2007 - Chief Resident, Department of Internal Medicine - Wilford Hall Medical Center (SAUSHEC)
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Instruction & Training
- 10/2016 - Present, Teaching Resident Seminar: Promoting Clinical Reasoning, UT Health San Antonio
- 7/2016 - Present, UT Health San Antonio Long School of Medicine
- 7/2015 - Present, UT Health San Antonio Long School of Medicine
- 7/2014 - Present, Physical Exam Rounds, Audie L Murphy VA Hospital
- 7/2014 - Present, Medicine Clerkship, The University of Texas Health Science Center
- 7/2014 - Present, General Medicine Ward/Subinternship UH/VA, The University of Texas Health Science Center
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Research & Grants
Grants
Private
Funding Agency Josiah Macy Foundation Title Josiah Macy Foundation Faculty Scholars Program Status Active Period 9/2016 - 9/2018 Role Fellowship Grant Detail Under the program, the Foundation will select five faculty leaders each year. Each Scholar will receive salary support up to $100,000 per year over two years. Scholars must be nominated by the Dean of their institutions, who must commit to protecting at least 50 percent of the Scholars? time to pursue education reform projects at their institution. Each school may nominate only one candidate each year, and will be expected to provide a senior faculty member to mentor the Scholar.
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Publications
- Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance
- Immunologic resilience and COVID-19 survival advantage
- Mapping clinical reasoning literature across the health professions: a scoping review
- Comparing Open-Book and Closed-Book Examinations: A Systematic Review
- How to use illustrated storytelling for interprofessional teaching and learning
- Sequence matters: patterns in task-based clinical reasoning
- Finding Meaning: Internal Medicine Clerkship Director Burnout and Professional Fulfillment
- Use of clinical reasoning tasks by medical students
- Innovation in Collaborative Online Learning Yields Sustainable Model for University-wide Interprofessional Education
- Drawing Boundaries: The Difficulty in Defining Clinical Reasoning
- Clinical interprofessional education in the health professions: a scoping review protocol
- Roles and Responsibilities of Medicine Subinternship Directors : Medicine Subinternship Director Roles
- Context and clinical reasoning : Understanding the medical student perspective
- Interprofessional Practice and Education in Clinical Learning Environments: Frontlines Perspective
- The terminology of clinical reasoning in health professions education: Implications and considerations
- Ready to collaborate?: medical learner experiences in interprofessional collaborative practice settings
- Internal Medicine Student Education on Direct-Care Hospital Medicine Services: Results of a National Survey
- Understanding context specificity: the effect of contextual factors on clinical reasoning
- Innovation and Missed Opportunities in Internal Medicine Undergraduate Education During COVID-19: Results from a National Survey
- Clinical Reasoning Tasks and Resident Physicians: What Do They Reason About?
- Fecal Occult Blood Testing in Hospitalized Patients with Upper Gastrointestinal Bleeding
- Consequences of contextual factors on clinical reasoning in resident physicians
- Immune resilience despite inflammatory stress promotes longevity and favorable health outcomes including resistance to infection
- The Association Between Sensemaking During Physician Team Rounds and Hospitalized Patients' Outcomes
- It Totally Possibly Could Be: How a Group of Military Physicians Reflect on Their Clinical Reasoning in the Presence of Contextu
- The required written history and physical is alive, but not entirely well, in internal medicine clerkships
- Heart Rate and Heart Rate Variability Correlate with Clinical Reasoning Performance and Self-Reported Measures of Cognitive Load
- Service and Education: The Association Between Workload, Patient Complexity, and Teaching on Internal Medicine Inpatient Service
- Medical student advising during virtual residency recruitment: results of a national survey of internal medicine clerkship and s
- Examining the patterns of uncertainty across clinical reasoning tasks: effects of contextual factors on the clinical reasoning p
- Clerkship Roles and Responsibilities in a Rapidly Changing Landscape: a National Survey of Internal Medicine Clerkship Directors
- Contextual factors and clinical reasoning: differences in diagnostic and therapeutic reasoning in board certified versus residen
- How is clinical reasoning developed, maintained, and objectively assessed? Views from expert internists and internal medicine in
Abstract
Sehgal R, Ozment, K, Hanson JT, Ratcliffe TA, O`Rorke JE. The Effect of Triage Diagnosis on Clinical Reasoning; 2017 Apr. (Journal of General Internal Medicine; vol. 32, no. Supp2).
Book Chapter
Ratcliffe T, Durning SJ. Theoretical Concepts to Consider in Providing Clinical Reasoning Instruction. In: Trowbridge Jr. RL, Rencic JJ, Durning SJ. Teaching clinical reasoning. United States: Philadelphia : American College of Physicians, [2015]; 2015. p. 13-30.
Journal Article
Uhlig PN, Doll J, Brandon K, Goodman C, Medado-Ramirez J, Barnes MA, Dolansky MA, Ratcliffe TA, Kornsawad K, Raboin WE, Hitzeman M, Brown J, Hall L. Interprofessional Practice and Education in Clinical Learning Environments: Frontlines Perspective Academic Medicine 2018 Oct;93(10):1441-1444. McBee E, Ratcliffe T, Schuwirth L, O'Neill D, Meyer H, Madden SJ, Durning SJ. Context and clinical reasoning : Understanding the medical student perspective Perspectives in Medical Education 2018 Aug;7(4):256-263. Ratcliffe TA, Crabtree M, Palmer RF, Pugh JA, Lanham HJ, Leykum LK. Service and Education: The Association Between Workload, Patient Complexity, and Teaching on Internal Medicine Inpatient Services Journal of General Internal Medicine 2018 Feb;33(4):449-454. Young M, Thomas A, Lubarsky S, Ballard T, Gordon D, Gruppen LD, Holmboe E, Ratcliffe TA, Rencic J, Schuwirth L, Durning SJ. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning Academic Medicine 2018 Jan;. McBee E, Ratcliffe TA, Picho E, Schuwirth L, Artino AR Jr, Yepes-Rios AM, Masel J, van der Vleuten C, Durning SJ. Contextual factors and clinical reasoning: differences in diagnostic and therapeutic reasoning in board certified versus resident physicians BMC Medical Education 2017 Nov;. Matthews B, Ratcliffe TA, Sehgal R, Abraham J, Monash B. Fecal occult blood testing in hospitalized patients with upper gastrointestinal bleeding Journal of Hospital Medicine 2017 Jul;12(7):567-569. McBee E, Ratcliffe T, Goldszmidt M, Schuwirth L, Picho K, Artino AR, Masel J, Durning SJ. Clinical Reasoning Tasks and Resident Physicians: What Do They Reason About? Acad Med 2015 Dec;. Leykum LK, Chesser H, Lanham H, Pezzia C, Palmer RF, Ratcliffe T, Reisinger H, Agar M, Pugh JA. The Association Between Sensemaking During Physician Team Rounds and Hospitalized Patients? Outcomes Journal of General Internal Medicine 2015 Dec;30(12):1821-1827. Durning SJ, Dong T, Ratcliffe T, Schuwirth L, Artino AR, Boulet JR, Eva K. Comparing Open-Book and Closed-Book Examinations: A Systematic Review Acad Med 2015 Nov;. McBee E, Ratcliffe T, Picho K, Artino AR Jr, Schuwirth L, Kelly W, Masel J, van der Vleuten C, Durning SJ. Consequences of contextual factors on clinical reasoning in resident physicians (Epub ahead of print) Adv Health Sci Educ Theory Pract 2015 Mar;.
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Clinical
Board Certifications
- 2006 - American Board of Internal Medicine