Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making

Purpose. The authors proposed that introducing real patients into a pathology classroom early in medical education would help integrate fundamental principles and disease pathology with clinical presentation and medical history.Methods. Three patients with different pathologies described their histo...

Full description

Bibliographic Details
Main Authors: Justin G. Peacock, Joseph P. Grande
Format: Article
Language:English
Published: PeerJ Inc. 2015-02-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/809.pdf
_version_ 1797424903044988928
author Justin G. Peacock
Joseph P. Grande
author_facet Justin G. Peacock
Joseph P. Grande
author_sort Justin G. Peacock
collection DOAJ
description Purpose. The authors proposed that introducing real patients into a pathology classroom early in medical education would help integrate fundamental principles and disease pathology with clinical presentation and medical history.Methods. Three patients with different pathologies described their history and presentation without revealing their diagnosis. Students were required to submit a differential diagnosis in writing, and then were able to ask questions to arrive at the correct diagnosis. Students were surveyed on the efficacy of patient-based learning.Results. Average student scores on the differential diagnosis assignments significantly improved 32% during the course. From the survey, 72% of students felt that patient encounters should be included in the pathology course next year. Seventy-four percent felt that the differential diagnosis assignments helped them develop clinical decision-making skills. Seventy-three percent felt that the experience helped them know what questions to ask patients. Eighty-six percent felt that they obtained a better understanding of patients’ social and emotional challenges.Discussion. Having students work through the process of differential diagnosis formulation when encountering a real patient and their clinical presentation improved clinical decision-making skills and integrated fundamental concepts with disease pathology during a basic science pathology course.
first_indexed 2024-03-09T08:08:23Z
format Article
id doaj.art-32e9f40f2e914a0aa4095b78e47119ad
institution Directory Open Access Journal
issn 2167-8359
language English
last_indexed 2024-03-09T08:08:23Z
publishDate 2015-02-01
publisher PeerJ Inc.
record_format Article
series PeerJ
spelling doaj.art-32e9f40f2e914a0aa4095b78e47119ad2023-12-02T23:35:24ZengPeerJ Inc.PeerJ2167-83592015-02-013e80910.7717/peerj.809809Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-makingJustin G. Peacock0Joseph P. Grande1Department of Graduate Medical Education, San Antonio Uniformed Services Health Education Consortium, San Antonio, TX, USADepartment of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, MN, USAPurpose. The authors proposed that introducing real patients into a pathology classroom early in medical education would help integrate fundamental principles and disease pathology with clinical presentation and medical history.Methods. Three patients with different pathologies described their history and presentation without revealing their diagnosis. Students were required to submit a differential diagnosis in writing, and then were able to ask questions to arrive at the correct diagnosis. Students were surveyed on the efficacy of patient-based learning.Results. Average student scores on the differential diagnosis assignments significantly improved 32% during the course. From the survey, 72% of students felt that patient encounters should be included in the pathology course next year. Seventy-four percent felt that the differential diagnosis assignments helped them develop clinical decision-making skills. Seventy-three percent felt that the experience helped them know what questions to ask patients. Eighty-six percent felt that they obtained a better understanding of patients’ social and emotional challenges.Discussion. Having students work through the process of differential diagnosis formulation when encountering a real patient and their clinical presentation improved clinical decision-making skills and integrated fundamental concepts with disease pathology during a basic science pathology course.https://peerj.com/articles/809.pdfPatient exposurePre-clinicalUndergraduate medical educationDifferential diagnosisClinical decision-makingPathology
spellingShingle Justin G. Peacock
Joseph P. Grande
Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making
PeerJ
Patient exposure
Pre-clinical
Undergraduate medical education
Differential diagnosis
Clinical decision-making
Pathology
title Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making
title_full Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making
title_fullStr Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making
title_full_unstemmed Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making
title_short Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making
title_sort patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision making
topic Patient exposure
Pre-clinical
Undergraduate medical education
Differential diagnosis
Clinical decision-making
Pathology
url https://peerj.com/articles/809.pdf
work_keys_str_mv AT justingpeacock patientexposureinthebasicscienceclassroomenhancesdifferentialdiagnosisformationandclinicaldecisionmaking
AT josephpgrande patientexposureinthebasicscienceclassroomenhancesdifferentialdiagnosisformationandclinicaldecisionmaking