Table 1 Examples of cases used in curriculum with topics in interpretation, short- and long-term management, and patient education
From: Preclinical curriculum of prospective case-based teaching with faculty- and student-blinded approach
Age/Sex | Diagnosis | Interpretation | Management | Patient Education | # of patient visits |
|---|---|---|---|---|---|
57 / F | Recurrent pancreatitis and erythema nodosum | • Differential diagnosis for 1) left upper quadrant abdominal pain, 2) erythema nodosum, and 3) recurrent pancreatitis • Bedside index of severity in acute pancreatitis (BISAP) score | • Cornerstones of pancreatitis management in inpatient & outpatient setting | • Counseling patients with fear of going to Emergency Department | 3 |
82 / M | Serotonin syndrome secondary to polypharmacy in the elderly | • Medication interactions in setting of serotonin syndrome • Physical exam findings in serotonin syndrome • Differential diagnosis for 1) delirium and 2) myalgia | • Consolidating medications • Home safety evaluation • Diabetes control • Primary prevention of myocardial infarction • Managing neuropathic pain and myalgia | • Teaching self-monitoring of blood glucose • Substance use counseling • Educating family caregivers | 2 |
49 / M | Secondary gout & cardiovascular disease in Hodgkin’s Lymphoma survivor | • Long-term complications in survivors of Hodgkin’s Lymphoma after treatment • Differential diagnosis for 1) foot pain and 2) chest pain | • Management of gout • Post-splenectomy vaccinations • Cardiology & nutrition referrals • Managing aortic stenosis after identifying cause | • Dietary counseling for gout • Weight loss counseling | 8 |
55 / F | Type 2 Diabetes | • Criteria for diagnosing diabetes • Changes in hemoglobin A1C and lipid panel in the setting of weight change | • Dietary recommendations to promote weight loss • Diabetes management • Referrals to nutrition, sleep clinic, and psychology • Managing care for patients who irregularly follow-up | • Lifestyle counseling and motivational interviewing for weight loss • Reviewing food questionnaire results | 8 |