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Root Cause Assessment in Primary Care

You'll be able to systematically evaluate patients with chronic, multi-system complaints by mapping contributing factors across gut, hormonal, metabolic, and environmental domains before selecting an intervention.

What this track covers

This track covers a structured approach to chronic disease presentations that don't resolve with standard first-line management — including persistent GI symptoms, fatigue, and hormonal irregularities. You'll practice organizing a patient's history, labs, and exposures into a coherent picture, then prioritizing which findings warrant further workup versus lifestyle-focused intervention. The focus is on clinical reasoning and test interpretation, not on any single protocol or product.

What you will practice

  • Build a timeline linking a patient's symptom onset to diet, stress, sleep, and exposure history
  • Interpret a stool or GI panel and decide whether findings change management
  • Differentiate primary thyroid dysfunction from non-thyroidal illness using more than TSH alone
  • Evaluate a nutrient deficiency pattern and decide which findings need confirmatory testing
  • Sequence a workup for fatigue that considers adrenal, thyroid, and sleep contributors before ordering specialty labs

Simulator scenario

A patient presents with six months of bloating, fatigue, and irregular cycles, and the clinician must decide which labs to order and what to address first.

Board question topics

  • Interpreting thyroid panels beyond TSH
  • Distinguishing IBS from SIBO on clinical grounds
  • Recognizing red flags that require referral versus conservative management
  • Nutrient deficiency workup in patients with GI symptoms

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