Download Go through PBL Process before moving to next slide. Continue

Case Name & Day
Restriction of Use: The School of Medicine considers all PBL cases and supporting materials
to be secure and intended solely for the educational purposes of the students and faculty of
the University of Texas Medical Branch. Students should not access the PBL cases prior to
release on the course website. At no time should the PBL cases and supporting materials be
copied or distributed. Individuals violating these policies are subject to disciplinary action.
Slide 1 of 28
Background
This slide includes:
• An introduction of the patient from his/her
background story up to the reason for the visit
(possibly including a history of present illness).
Go through the PBL Process before moving to the next slide.
Start Problem and Hypotheses Lists on the whiteboard.
Slide 2 of 28
Past Medical History
Go through PBL Process before moving to next slide. Continue
Problem and Hypotheses Lists. What additional information
Slide 3 of 28
would you like to know and how would you obtain it?
Family History
Go through PBL Process before moving to next slide. Continue
Problem and Hypotheses Lists. What additional information would
Slide 4 of 28
you like to know and how would you obtain it?
Social History
Go through PBL Process before moving to next slide. Continue
Problem and Hypotheses Lists. What would you want to learn
Slide 5 of 28
from the physical exam?
Physical Exam
• Review of Systems
• Physical Findings
Go through PBL Process before moving to next slide. Continue Problem
List as needed and revise and prioritize the Hypotheses List
Slide 6 of 28
Tasks
This slide might include:
• Can you form hypotheses regarding pathogenesis based
on the problem list? List them on whiteboard.
• Consider VITAMIN ABCDE.
• What other information would you like to have about the
patient to confirm or disconfirm hypotheses?
• How could you get the information you need?
Discuss the above tasks (if not already discussed) before
proceeding to next slide.
Slide 7 of 28
Additional Information
This slide might include:
• Information from questions asked of the patient
• Lab values
• Exhibits
Revise the problem list as needed. Revise and prioritize
Hypotheses List based on new information.
Slide 8 of 28
Exhibit 1
This slides will include:
• Exhibits that are embedded within the case (rather
than hyperlinked at the end of the case).
Slide 9 of 28
Tasks
This slide might include:
• Pharmacology
• Possible treatment choices
• Additional information needed about this patient
• Diagrams
Discuss the above tasks (if not already discussed) before
proceeding to next slide.
Slide 10 of 28
End Day 1
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wall-mounted key pad. Thank you.
Slide 11 of 28
Begin Day 2
Case Name & Day
Restriction of Use: The School of Medicine considers all PBL cases and supporting
materials to be secure and intended solely for the educational purposes of the students and
faculty of the University of Texas Medical Branch. Students should not access the PBL
cases prior to release on the course website. At no time should the PBL cases and
supporting materials be copied or distributed. Individuals violating these policies are subject
to disciplinary action.
Slide 12 of 28
Student Presents Patient
Subjective
•
•
•
•
•
Patient Demographics
PMH
FH
SH
ROS
Objective
• PE
• Labs
Slide 13 of 28
Student Presents Patient
Assessment
•
•
•
•
Primary problem
Possible etiologies
Relation among problems
Rationale for interventions and diagnostic tests
Plan
• Current medications
• Management steps
Slide 14 of 28
Learning Issues
• Discuss the learning issues and apply
them to the case.
• Revise or reprioritize the Hypotheses
List (if necessary) based on information
ascertained from the discussion.
Slide 15 of 28
Diagnosis
This slide includes:
• A diagnosis given to the patient and the patient’s
reaction/questions.
• Tasks that should prompt the students to answer any
patient questions and to justify the diagnosis given by
providing the confirming evidence for the diagnosis or
the disconfirming evidence for competing diagnoses.
STOP and discuss before advancing slide.
Slide 16 of 28
Treatment
• Depending on the case, this may take the form of a
description of treatment undertaken or a description of
treatment options presented to the patient.
• This may take multiple slides and include patient
questions about treatment.
STOP and discuss before advancing slide.
Slide 17 of 28
Tasks
Tasks at this point should include the impact of treatment medically, psychologically and socially.
Such as:
• Describe the effect of treatment(s) on problems.
• Describe other effects (possibly unintended) of treatment.
• Compare cost associated with treatment options.
• Discuss adherence issues for treatment regimen or recovery
time if treatment is surgical.
Discuss the above tasks (if not already discussed) before
proceeding to next slide.
Slide 18 of 28
End Day 2
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wall-mounted key pad. Thank you.
Slide 19 of 28
Begin Day 3
Case Name & Day
Restriction of Use: The School of Medicine considers all PBL cases and supporting
materials to be secure and intended solely for the educational purposes of the students and
faculty of the University of Texas Medical Branch. Students should not access the PBL
cases prior to release on the course website. At no time should the PBL cases and
supporting materials be copied or distributed. Individuals violating these policies are subject
to disciplinary action.
Slide 20 of 28
Student Presents Patient
Subjective
•
•
•
•
•
Patient Demographics
PMH
FH
SH
ROS
Objective
• PE
• Labs
Slide 21 of 28
Student Presents Patient
Assessment
•
•
•
•
Primary problem
Possible etiologies
Relation among problems
Rationale for interventions and diagnostic tests
Plan
• Current medications
• Management steps
Slide 22 of 28
Learning Issues
• Discuss the learning issues and apply
them to the case.
• Revise or reprioritize the Hypotheses
List (if necessary) based on information
ascertained from the discussion.
Slide 23 of 28
Patient Follow-Up
This slide includes:
• Follow-up visit including unresolved problems
• Follow-up lab values where appropriate
Discuss before advancing slide. If new or unresolved problems
are present, you may want to go back through the PBL Process.
Slide 24 of 28
Synthesizing Tasks
This slide may include:
Learning activities, e.g., quizzes, concept maps, etc
• Are there tasks such as diagrams etc that would help
students synthesize the information in this case?
• Also consider alternate ending scenarios of how might this
outcome be different :
• if the patient were older or younger?
• had chosen a different treatment option
• had a concurrent diagnosis of . . ., etc.
Slide 25 of 28
Theme Issues / Tasks
This slide may include:
• Tasks focused on issues about health care delivery,
preventive health, or professionalism that students should
consider in reflecting on the case.
Slide 26 of 28
Credits
• Case author(s):
• Image attribution:
Slide 27 of 28
End Day 3
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wall-mounted key pad. Thank you.
Slide 28 of 28