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Michelle Lin's Twitter Updates

@precordialthump I totally forgot about the EKG library! Awesome stuff. Keep up the great work (when do you sleep?!) 258 days ago
@emeducation Perfect, thanks for the suggestions! Turns out one is co-authored by Jeff Tabas. He already gave them all books. 258 days ago
Recommendations for an EKG resource to review bread & butter cases for senior residents? Pre-graduation panic setting in for our residents. 258 days ago
@danipedia Good point. I use the studies to convince the trauma consults NOT to get c-spine imaging on EVERYONE (citing distracting injury)! 263 days ago
@doctorflash Hi there. Just wanted to drop a note to thank you for all the extra traffic you're sending to blog. Much appreciated!! 273 days ago
 

Trick of the Trade: Increasing students responses to the differential diagnosis

Posted Aug 25 2010 12:00am

Anyone who teaches medicine asks students to list their differential diagnosis when discussing a new clinical case. It's also part of several models for education including the One-Minute Preceptor and SNAPPS.

For the most part, students are good at coming up with answers to the differential, but what do you do when they strike out? Or what if the answer is always the same, i.e. chest pain = myocardial infarction?

Educator's Trick of the Trade:

Enter the game SPIT. This is an acronym for:
  • S erious
  • P robable
  • I nteresting
  • T reatable
I keep a handy supply of 3x5 cards in my pocket and will hand them to the learner when they stall or just to make things interesting. The rules are simple. One answer to each category and each category must have a different answer. I'll then go through the categories with the students and probe for their reasoning. Its amazing how something so simple creates so many teachable moments.

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