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Table 2 Examples of different teaching points

From: Teaching points-do they occur and what do they contain? An observation study concerning the general practice rotation

Topic of teaching point

General teaching point

Specific teaching point

Therapy/treatment

Preceptor advises against combining statins with fibrates due to the heightened risk for rhabdomyolysis.

The medication of a particular patient is discussed and explained.

Patient history

 

The GP provides biographical background information which helps understand the patient present.

Diagnostic procedure

ECG: After asking student for a sign of hypertension in an ECG, the preceptor explains the calculation of the Sokolow-Lyon Index in ECGs.

 

Physical examination

Knee examination: Preceptor enquires whether student had examined patient for patellar effusion; as this was not the case, the student is then required to do so whilst being instructed by GP.

 

Disease pathology

Von Willibrand’s Syndrome is explained by preceptor

 

Differential diagnosis

The preceptor asks the student what the differential of a cough in children would be.

 

Risk factors

General cardiovascular risk factors are explained.

The factors present in a particular patient are discussed.

Case presentation

Teaching practitioner explains that he would generally expect the correct medical terms to be used in a case presentation.

 
  1. Legend: Categories according to topic and type of teaching point (general rule or specific, case-bound information)