2026 Medical Education Grand Rounds - Kevin’s Comb and Becky’s Braids: A Model for Clinical Reasoning in Geriatric Medicine

Geriatric clinical reasoning requires navigating diagnostic ambiguity, multimorbidity, and patient-centered priorities in ways that are iterative and non-linear, which traditional frameworks often fail to capture. Kevin’s Comb and Becky’s Braids provides a visual model in which repeated “combing” supports ongoing diagnostic reassessment, while “braiding” integrates management into goal-aligned, feasible care plans that are periodically unraveled and reworked as conditions evolve. Together, the framework offers a shared language to make adaptive, patient-centered reasoning more explicit in clinical care and teaching.

Original Release Date:  May 19, 2026 Expiration Date: May 17, 2027

Most Recent Review Date: May 19, 2026

To be able to access this activity you will need internet access and  a computer with Windows.

It is anticipated that it will take 60 minutes to fully participate and complete this activity. In order to complete this activity and claim credit you must:

1) Complete the pre test.

2)Watch the video.

3) Take and pass the post test with a grade of 80% or better

4) Complete the course evaluation

5) Claim credit by logging into https://albanymed.cloud-cme.com

Free Program

1. Compare existing clinical reasoning frameworks and identify their limitations in addressing the complexity of geriatric care.
2. Describe the origin and conceptual development of Kevin’s Comb and Becky’s Braids as a framework for geriatric diagnostic and management reasoning.
3. Apply the framework to clinical scenarios to support iterative diagnostic reassessment and development of patient-centered, goal-aligned care plans.

Cancellation Policy

Albany Medical College reserves the right to cancel or postpone this program if necessary; in the event of cancellation, course fees will be fully refunded. We are not responsible for other costs incurred such as non-refundable airline tickets or hotel penalties.

Accessibility Statement
 
Albany Medical College is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator.

Albany Medical College adheres to ACCME Criteria, Standards and Policies regarding industry support of continuing medical education. Disclosure of faculty and their commercial relationships will be made prior to the activity.

Mitigation of Relevant Financial Relationships

Albany Medical College Continuing Medical Education adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. This is a non-clinical program.  The faculty or planning committee members have not been asked to disclose financial relationships with ineligible companies and those relationships if they exist will not be mitigated.

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Ann Rutter, MD
Albany Medical College/Community Care Physicians
Schenectady, NY

Course Director

Kevin B Costello, MD
Associate Professor of Medicine
Albany Medical College
Cohoes, NY

Faculty

Rebecca Stetzer, MD
Associate Professor
AMC
Albany, NY

Faculty

Nothing to disclose

Jennifer Price, BS
Director of Continuing Medical Education
Albany Medical College
Albany, NY

Other Planning Committee Member

Nothing to disclose

We have not received any commercial support for this activity.