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 when a diagnosis of APS should be considered. What are the possible clinical manifestations?
How is APS treated? Use the information in DynaMed: Antiphospholipid Antibody Syndrome, a benefit of your ACP membership!
Ask your learners what a noninferiority study is. What does the noninferiority margin mean? How are the results interpreted?
The authors present the results of “intention-to-treat” and “per protocol” analyses. What is the difference? What are the potential biases introduced by a per protocol analysis? Why might a per protocol analysis be useful?
Why might rivaroxaban not be noninferior to dose-adjusted VKAs in this study? The authors offer some possible explanations in the discussion.
Invite an expert in study design to join your discussion.
Ask your learners why recurrent CDI might be a life-threatening condition. What are the potential complications?
Why might patients with recurrent CDI be at increased risk for bloodstream infections? Which ones?
How is recurrent CDI treated? Is FMT used at your center?
What were the outcomes of this study?
What are the limitations of an observational study (versus a randomized trial) to compare 2 approaches to therapy? What is the goal of propensity score matching? How well does this approach mimic a randomized trial? Invite an expert in biostatistics to join your discussion.
Invite your learners to identify a problem with the system in which they practice every day. Can they identify the causes of the problem? What are potential ways to fix it?
Invite an expert in quality improvement to join your discussion. Could your learners work to test a solution to the problem they identified?
Ask your learners to list the available DOACs. What are their mechanisms of action?
Can they be reversed in the event of bleeding?
Watch the video. Then, ask how to calculate the time required after stopping the DOAC before an invasive procedure.
Listen to an audio recording, read by Dr. Michael LaCombe.
Ask your learners what professions they thought they would pursue when they were younger. What drew them to each?
Are there aspects of medicine that encompass the talents involved in those other professions?
Taichman DB. Annals for Educators - 19 November 2019. Ann Intern Med. 2019;171:ED10. doi: https://doi.org/10.7326/AWED201911190
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Published: Ann Intern Med. 2019;171(10):ED10.
Hospital Medicine, Lupus Erythematosus, Multi-Organ Failure and Sepsis, Pulmonary/Critical Care, Rheumatology.
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