DB'S MEDICAL RANTS

Internal medicine, American health care, and especially medical education

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The value of schema

Our research and anecdotal experience both tell us that our learners are most interested in our thought processes.  I have used schema for years, but never had the right name for that process.  Dr. Reza Manesh, in the latest episode of the Curbsiders, uses a schema to help diagnose an unknown patient.  He defines it:

Diagnostic Schema
A systematic way to tackle a clinical problem by having an organized approach.

On reflection I realized that this is major tool for my teaching.  I have teaching schema for chest pain, syncope, hyponatremia, etc.  I wrote about my chest pain schema in 2006!

7 deadly causes of chest pain and decision aids

As a medical educator, developing such schema help us teach and give a structure for the learners to remember how to diagnose a particular problem.

Do you use schema?  Reza makes a convincing case that you should.

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