Virtual patients to study and improve clinical reasoning

Joseph Keary jgkeary at GMAIL.COM
Thu Nov 22 19:52:19 UTC 2018


I used to teach microbiology to nursing students at both 2 and 4 year institutions. At the end, the syllabus would call for an unknown - students would get a culture and then inoculate all the media types we had studied in order to arrive at an ID. I wanted to make the class more clinical and replicate what they would actually do. So, since nurses rarely (if ever) inoculate and read tests, I gave them an initial culture and a detailed H&P. Based on the clinical presentation, they would first order microbiology and other clinical tests to determine what was potentially wrong. They had a pick list of 20 potential organisms (including viruses, which we couldn't culture) to start with. I would email them the results within a clinically relevant time frame.
They could then order other tests. More results given to them. Points were awarded for appropriate tests and correct ID. Points were subtracted for inappropriate testing or incorrect use of a diagnostic algorithm.
Students loved it because it replicated what they do in their profession. 

Sent from my iPhone

> On Nov 22, 2018, at 14:25, Mark Graber <Mark.Graber at IMPROVEDIAGNOSIS.ORG> wrote:
> 
> Here’s 2 recent publications describing and studying diagnostic case scenarios – virtual patients.
>  
> These cases are ready-to-use resources for clinical teaching, and I hope they will see widespread use in research going forward.
>  
> Thanks to everyone in the growing community of clinicians, educators, and researchers trying to study and improve clinical reasoning – its so nice to see publications like these.
>  
> Happy holidays to all ….
>  
>   Mark
>  
> Mark L Graber MD FACP
> Chief Medical Officer; Founder and President Emeritus, SIDM
> Senior Fellow, RTI International
> Professor Emeritus, Stony Brook University
> <image001.jpg>
> 
> 
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> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine
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> <Battista - 2018 - Clinical Reasoning in primary care - two scenario-based simulations.pdf>
> <Hege - 2018 - Advancing clinical reasoning in virtual patients .pdf>km






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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