“Differential Diagnosis An Interactive Course for Health Care Providers to Practice the Diagnostic Process of Young Children” by Bloom, Madden, Regier and Sidenstick
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Entry Number: 09
Title:
- Differential Diagnosis An Interactive Course for Health Care Providers to Practice the Diagnostic Process of Young Children
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Children’s National Hospital is a leading pediatric teaching hospital with medical students, residency programs, fellowships, and research initiatives. Children’s National uses online e-learning in its training, including interactive courses with 3D animated virtual simulations. Infants and young children can be hard to diagnose since they cannot easily tell doctors where it hurts or what they are feeling. Thorough diagnosing is important because diseases may often resemble other issues. Medical trainees of all levels require practice in the process of forming a diagnosis through organized steps in information gathering via medical history, lab results, and physical exam findings. The creation of educational videos of ill infants pose unique problems since children cannot self-consent, have rapid decompensations from minute to minute, and video capture can put the infant at risk. For example, a videographer would need to be in close proximity to a small child and could lead to increased exposures or prevent the care team from giving timely care. In addition, children often present with only one or two findings and these expand with time. As we work to ensure diversity in education and learning, the ability to create cases with diverse patient populations is important. While in a clinic setting, it is unethical to “allow” disease progression. Using 3D virtual simulation, the diagnostic process can be taught without risk to the patient.
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Acknowledgements:
SMHS Education Research Grant awarded to Debra Regier, MD, PhD, and Mary Ottolini, MD, MPH.
Recognition to Kerri Bosfield for her work on video scripting and performances.
