Table 5 The frequency of 5 levels of cognitive skills in MBC
From: The use of microblog-based case studies in a pharmacotherapy introduction class in China
Reasoning skills | Number of messages (%) | Examples |
|---|---|---|
Elementary clarification | 165 (27.9%) | “Do we need to consider the withdraw symptom?” |
“The patient just has muscle pain.” | ||
In-depth clarification | 189 (31.9%) | “Both Gabapentin and Pregabalin were approved by FDA to treat DPNP…” |
“The patient has mild ~ moderate pain caused by exercise …ibuprofen therapy is not working well for this patient due to its short half-life.” | ||
Inference | 148 (25%) | “FDA has warned the suicidal risk especially for young patients, thus should let the patient know…” |
“The patient developed sexual dysfunction, thus should avoid SSRI…” | ||
“Need 5 weeks wash out period due to fluoxetine’s long half-life…” | ||
Judgment | 15 (2.5%) | “Many cold meds share the acetaminophen ingredient; if take cold meds, it’s possible to cause acetaminophen overdose…” |
“The priority goal is to control the pain, although Pentazocine has fewer side effects, it is not a good choice for this patient.” | ||
Strategies | 16 (2.7%) | “If one drug failed, it doesn’t mean other drugs in the same class would fail, we could try at least 2 SSRIs before switching to other class, I will recommend another SSRI, e.g. Sertraline 50 mg PO QD…” |
“Since the patient had tried Bupropion and Citalopram with full dose and duration, this is resistant, severe depression. Amitriptyline probably won’t be helpful…According to the notes, I will recommend olanzapine/fluoxetine 6 mg/25 mg PO QPM…” |