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.
Start a teaching session with a multiple-choice question. We've provided one below!
Ask your learners who should be screened for LTBI. How should screening be performed? What are the treatment options? Use the recent In the Clinic: Tuberculosis to help prepare your teaching session.
What are the risks and benefits of each directly observed and self-administered treatment for LTBI?
Do your learners believe they can identify patients in whom self-administered treatment would be appropriate? What were the inclusion and exclusion criteria for this randomized trial? Do they help guide you?
Ask your learners who is at increased risk for HPV infection. Is screening recommended? In whom, and how?
What are the potential complications of HPV infection?
Are your learners surprised by the prevalence estimates for HPV infection among men and women?
What are the recommendations for HPV vaccination? Consult the most recent statement from the Advisory Committee on Immunization Practices. Until what age are men and women to receive vaccination? Might the data from this study be useful in assessing the appropriateness of current recommendations?
Ask your learners what your hospital's policy is on the need for PIVCs in inpatients. Are they required for everyone? Are they routinely changed after a set number of days, or only when they are nonfunctional?
Does everyone need a PIVC? Are they harmless?
Do your learners think current practice could be improved? What changes would they consider? What additional information would be desired before making a change? Can your learners propose practical means to gather this information or to study a change in practice?
Ask your learners whether they like or dislike using your system's EHR.
What are the potential benefits of using an EHR? What are the risks to patients and the burdens on health care providers? Can your learners propose ways to minimize or eliminate these risks and burdens?
Do your learners think the “metrics” proposed by the authors of this paper would be useful? What needs to be agreed on regarding how a metric will be used before it is worth measuring it?
Invite a member of your hospital's administration who is responsible for EHR implementation to join your discussion. Ask what metrics your system uses to evaluate how well your EHR functions. Do your learners believe the right areas are being scrutinized?
Take a relaxing and educational break with your learners and watch this 10-minute video.
Ask your learners what the policy is regarding fasting before procedures at your center. What are these policies based on? What are the risks of having food or liquid before anesthesia, and how long do they last?
Answer the multiple-choice questions with your team. Log on and submit your own answers to earn CME/MOC credit for yourself.
Listen to an audio recording of the essay, read by Dr. Michael LaCombe.
Ask your learners if they resent when time caring for patients takes away from time with family and friends. How do they deal with this resentment? Does patient care seem like an inconvenience?
Do any of your learners have children? Do they think the pressures are different in this situation? What other unique situations do your learners face?
How do we balance work and family responsibilities?
Do we talk to our family and friends about these challenges? Do they understand?
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.
Taichman DB. Annals for Educators - 21 November 2017. Ann Intern Med. 2017;167:ED10. doi: 10.7326/AFED201711210
Download citation file:
Published: Ann Intern Med. 2017;167(10):ED10.
Hospital Medicine, Infectious Disease, Mycobacterial Infections, Prevention/Screening.
Results provided by:
Copyright © 2018 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use