Darren B. Taichman, MD, PhD
Visit Annals Teaching Tools for more resources for educators from Annals and ACP.
From the Editors of Annals of Internal Medicine and Education Guest Editor, Gretchen Diemer, MD, FACP, Associate Dean of Graduate Medical Education and Affiliations, Thomas Jefferson University.
Taichman DB. Annals for Educators - 17 May 2016. Ann Intern Med. 2016;164:ED10. doi: 10.7326/AFED201605170
Download citation file:
Published: Ann Intern Med. 2016;164(10):ED10.
Start a teaching session with a multiple-choice question. We've provided one below.
Ask your learners to generate a differential diagnosis for a patient with fever and thrombocytopenia. How would they approach making a diagnosis?
Generate a list of tick-borne illnesses. How do Rocky Mountain spotted fever, human ehrlichiosis and anaplasmosis, and Lyme disease differ?
What precautions should patients take to avoid exposure to tick-borne illnesses? What evaluation is appropriate if a patient reports finding a tick on his or her body? Is prophylactic antibiotic treatment ever appropriate?
Arrange to review the histology slides of a patient on your service with breast cancer. Ask the pathologist to show slides demonstrating atypia and carcinoma in situ. Discuss how confident (or not) such diagnoses are.
Why and what treatment is pursued for ductal carcinoma in situ? What are the gaps in our knowledge regarding the best approach? Use the accompanying editorial to help frame your discussion. Ask an oncologist to discuss this with your team. Should the results of this study alter the decision to pursue certain treatments?
Ask your learners how they would discuss the potential for uncertainty in the diagnosis of a cancerous lesion. How might your learners help a patient deal with such uncertainty? Are they themselves comfortable dealing with it?
Watch the episode with your learners.
Review the pharmacologic treatment requirements following the placement of bare-metal and drug-eluting coronary stents. Which drugs are needed, and for how long? Ask an invasive cardiologist to discuss how the type of stent is chosen for each patient.
Ask a surgical colleague to discuss how s/he approaches the use of antiplatelet agents in patients who require elective surgery. For how long does s/he prefer such agents be held before surgery?
Log on and answer the multiple-choice question to earn CME for yourself!
Assign members of your team to read the summary and the paper to which it refers before your next team rounds.
Concisely present the key teaching points to each other and then discuss if and how they might alter your practice.
Listen to an audio recording of the essay, read by Michael LaCombe, MD.
Ask your learners if they have ever felt physically threated by a patient. Do they worry they might become a victim of violence at the hands of one of their patients?
How should they handle such a threat? Many professions involve putting oneself at risk. What risks do we take as physicians?
Is whether one buys a gun a medical question? Why or why not? Should our choice be influenced in any way by our roles as physicians?
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Hospital Medicine, Infectious Disease, Ethics, Tick-Borne Diseases.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only