Description
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Catherine’s Asthma Case introduces a 52-year-old woman with a persistent cough as the student’s last patient of the day. The main learning objectives are to take a focused history and identify risk factors and clinical features that increases probability of asthma diagnosis; to develop a broad differential diagnosis of wheeze / cough. (Not all that wheezes is asthma); to become familiar with management of asthma, different medication delivery methods, and other management options; to be comfortable assessing asthma control in follow-up; and to be aware of inhaled glucocorticoid side effects. There is more information about our learning objectives and the project's aims here on the Canadian Health Education Commons (CHEC).The EMR's used in our case include MedAccess and Netcare. This case is designed to make the student consider clinical time management in their decision-making. The student is given 15 minutes to make all of their decisions for the initial visit, including history and patient chart review, a physical exam, an initial diagnosis, initial management and patient education. This visit is followed up 2 months later, and the student is asked whether the symptoms have been controlled. This decision can lead to two separate outcomes for the patient. There is also bonus content for this case, with further management several months later. The learner is encouraged to investigate, explore, ask questions, and make rapid decisions based on realistic clinical encounters with the patient. The learner will be required to engage general principles of history taking, consider principles of reflective practice, see how their assessment may impact a patient’s health following the visit, and consider some of the fears or misconceptions around steroid use. This case was developed as part of the SharcBAIT Project (2013-02-14)
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Notes
| README on what to do with these files ----------------------------------------------- You have downloaded an OLab zip file. See the second zip file contained within this download. Extract it and save it as a single zip file so this can be imported into an existing OpenLabyrinth v3 or OLab4 server. You do not need to expand this second zip file -- the import process will expand the contents into the correct locations on the OLab server. What are OLab scenarios? An OLab virtual scenario is a case or story, or it might be a wee test to challenge your learners. It might be a simple 3-step set of pages and questions. It might be a complex choose-your-own-adventure style of branching narrative. Why do I need an OLab server? To simply play the original scenario, look at the metadata in the Dataverse that you downloaded this zip from. There will be a link to a playable version - for this, you only need a web browser. (No software download needed.) But if you want to be able to edit the scenario, examine how it was crafted or use it as a template on which to build a new one, you start with this zip file and import it into an OLab server. You will need an account on that OLab server that gives you author privileges. If you do not have an account, contact us using the contact information given in the metadata in the Dataverse. How do I import this scenario into an OLab server? There are more detailed instructions available in the OLab User Guide. Briefly the steps are as follows: 1. Login to your OLab server as usual. 2. Under the Labyrinths or Maps menu, click on Import 3. Tell the server which zip file to import. 4. It should only take a few seconds to import most zip files. More complex scenarios might take a couple of minutes at most. 5. When imported, the scenario should appear in your list of Labyrinths or Maps. |