Darren B. Taichman, MD, PhD
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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 what the risk factors for cervical cancer are. What is the role of HPV in the pathogenesis?
What are your learners' approaches to screening their patients for cervical cancer? Whom do they screen? How? How often?
What do guidelines recommend? Use the information at DynaMed Plus: Cervical Cancer Screening (a benefit of your ACP membership).
Do your learners use HPV testing and/or cytology testing? Do they perform co-testing? How might the results of this study help inform future cervical cancer screening guidelines with regard to the necessary frequency of screening? Use the accompanying editorial to help frame your discussion.
Ask your learners whether they assess their patients for mild cognitive impairment or dementia. How is each diagnosed? What tools are available to help in the evaluation?
Have your team list possible interventions to prevent the development or progression of cognitive impairment. Does their list include the approaches studied in these systematic reviews (physical activity, medications, over-the-counter supplements, and cognitive training)? Have their patients expressed concern about preventing cognitive decline? Do your learners recommend any of these approaches to prevention?
Assign individuals to briefly summarize the findings of these systematic reviews at your next session so that each is reviewed for the group.
After hearing each presentation, ask whether your team believes anything can be done to prevent cognitive decline. Why do they think that finding solutions to this enormous problem is so difficult? Use the accompanying editorial to help frame your discussion.
The editorialist suggests recommendations that might prevent cognitive decline later in life. Each recommendation is something we should already be doing but are less than perfect at adhering to. Do your learners think that the possibility of delaying or preventing cognitive decline will be a better incentive to exercise or quit smoking than the reasons we already give our patients? How would your learners explain these recommendations to their patients?
Invite a member of your institution's travel clinic to join your discussion. What services do they provide? What questions do they ask?
Ask your learners whether they ask patients about planned travel. What immunizations are required? How can your learners arrange for these immunizations for their patients?
Who requires malaria prophylaxis, and what are the options?
What should your learners tell their patients about preventing travelers' diarrhea? Should they provide antibiotics in case they are needed? What should travelers pack in a traveler's kit? Review the Box (Travel Health Kit for International Travelers).
What advice should your learners give their patients in case they become ill during travel?
Answer these and the other questions addressed in this eminently practical review.
Download the teaching slides to help run a teaching session. Use the provided multiple-choice questions to introduce new topics along the way, and be sure to log on and enter your answers to earn CME/MOC credit for yourself!
Before the teaching session, ask your learners who are parents whether they would like to discuss the challenges they have faced with their colleagues. Make sure they are comfortable saying no or setting limits on what they will discuss.
Share the comic with your learners.
Watch some of the Annals Story Slam videos from July 2017, in which physicians discuss their experiences being “Doctor Mom.”
What specific challenges are faced by mothers as they balance being a parent with being a physician? Are the challenges different than for fathers? Do your learners think that your program is sufficiently helpful in supporting physicians who are parents? How could it be improved?
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Taichman DB. Annals for Educators - 2 January 2018. Ann Intern Med. 2018;168:ED1. doi: 10.7326/AFED201801020
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Published: Ann Intern Med. 2018;168(1):ED1.
Cancer Screening/Prevention, Hematology/Oncology, Infectious Disease, Prevention/Screening, Vaccines/Immunization.
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