MN 580-betty-burns-part-1-v3-pc-k-basic-ddx (1)_removed

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• Document any abnormal history or complaints on your problem list • The Interview Progress Button can be used up to 10 times on the practice cases only to give you feedback on how close you are t... o asking all the authors “required questions”. 2. Proceed to perform a PHYSICAL EXAM. • Assess vital signs and perform the examination appropriate for the type of case identified by the above history. Remember the comprehensive cases require a comprehensive physical. • Document abnormal findings in your problem list. 3. Be sure to complete the problem list exercise. • The directions will tell you how many items should be chosen. DO NOT exceed that number or your score will be zero. 4. Write a concise problem statement. • Start with a demographic description of your patient and the chief complaint and MSAP. Try to keep your problem statement below 100 words. Although this will not count towards your final case score, it will allow you to practice learning to communicate patient information in a complete and concise fashion. 5. Finalize your differential diagnosis list. • You may start your differential diagnosis during the history taking section, but after completing the problem statement, reflect and finalize your differential diagnosis list. Remember, this part of the case will be scored on how comprehensive this list is. You will not lose points for having too many, points are lost only if you have too few. The average list contains 5 diagnoses. 6. Order Tests • Order each test and link it to a diagnosis. Some tests are ordered to “rule in” a diagnosis while others are ordered to “rule out” a diagnosis. DO NOT try to scam the system by just clicking on everything. The software tracks not only what is done, but also keeps track of the order of completion. Clicking on the first opening question and then just going down the list of questions in the history is viewed as “scamming” the system and can result in a score of ZERO---same principle applies to each section. The time for completion of the case, as well as time spent in each section of the case is also recorded. This data has been shown to correlate with case performance. Very short times have lower scores as do very long times. The former is most likely due to lack of effort while the latter may be because the user is receiving multiple interruptions. The low score then most likely reflects “lack of continuity” of thought. Try to set aside enough time to complete the case in its entirety in a single sitting. This software is aimed at trying to help assess your critical thinking and diagnostic reasoning skills with patients similar to those you will be seeing in the clinical setting. It is extremely important for you to take these cases seriously as they will be used to determine how appropriate your interactions are with patients and if your clinical decision making skills are appropriate for this level in the program. HISTORY You asked 66 questions. 10 (15%) were key questions suggested by the expert case author. You asked an additional 56 questions (85%). Missing Oops. You didn't ask all important questions suggested by the expert author for this case. You missed asking 11 of the 21 key questions. (Note: Sometimes there is more than one way to get similar [Show More]

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