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 whether any of their patients are taking methotrexate. Who prescribed it? For what indication?
How does methotrexate work? Why is folic acid prescribed with it?
Ask your learners to list potential side effects of methotrexate. How often do they occur? Are they dose-dependent? How is methotrexate therapy monitored?
Review the results of this study. Are they surprising? Reassuring?
What are the implications of the study participants having to complete an active “run-in” period? How does this affect our interpretation of the results?
Ask your learners how acute cannabis intoxication may present. Use the information in DynaMed: Cannabis Use, a benefit of your ACP membership.
How is CUD defined? What are the potential symptoms? The authors address this in the paper's introduction and discussion.
What therapeutic approaches are used for CUD? What did this study find regarding their benefits and risks?
What were the limitations of the studies the authors evaluated? How might high rates of attrition bias the results of a clinical trial?
Ask your learners if they know what the Hamman sign is.
With what entities is it associated?
Play the recording of the chest sounds to your learners.
Listen to an audio recording, read by Dr. Michael LaCombe.
Ask your learners to describe their encounters with acutely agitated patients. Have they felt personally threatened? Have they been scared?
What should be done when a patient is a threat to themselves or others? Do your learners know what to do?
Are we expected to put ourselves in harm's way?
Dr. McCann believes it is better to “meet” our “impermissible” emotions in such situations. What are they? Why is it better to “meet” them?
Ask your learners what is meant by “the wards.” Have any of them seen a large, open hospital ward with multiple patient beds?
Do your learners agree with the author that the demise of wards has limited our interaction with nursing colleagues? Can your learners propose changes to current practice to regain some of the prior benefits of practicing on wards?
Taichman DB. Annals for Educators - 17 March 2020. Ann Intern Med. 2020;172:ED6. doi: https://doi.org/10.7326/AWED202003170
Download citation file:
Published: Ann Intern Med. 2020;172(6):ED6.
Autoimmune Kidney Disease, Hospital Medicine, Nephrology, Rheumatology, Tobacco, Alcohol, and Other Substance Abuse.
Results provided by:
Copyright © 2020 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use