Chalk Talks in Internal Medicine

This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, today's physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts.

A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners' misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks.

Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physician's assistants, nurse practitioners, and all others who teach and learn internal medicine.

Auteur

Somnath Mookherjee, MD

University of Washington

Division of General Internal Medicine Seattle, WA, USA

Lauren A. Beste, MD, MSc University of Washington

Division of General Internal Medicine

Seattle, WA, USA

Jared W. Klein, MD, MPH

University of Washington

Division of General Internal Medicine

Seattle, WA, USA

Jennifer Wright, MD,

University of Washington

Division of General Internal Medicine

Seattle, WA, USA

Contenu
Introduction.- How to create a teaching script for a chalk talk.- How to use a teaching script to deliver a chalk talk.- Management of Acute Coronary Syndromes.- Management of acute decompensated heart failure.- Interpretation of pacemaker settings.- Secondary hypertension.- Approach to Hypertension.- Stroke prophylaxis in atrial fibrillation.- Work-up for chest pain in the clinic.- Management of Hyperosmotic Hyperglycemia.- Management of Symptomatic Hypercalcemia.- Management of Type 2 Diabetes.- Management of Incidental Thyroid Nodules.- Management of Osteoporosis.- Management of Gastrointestinal Bleeding.- Management of Clostridium difficile infection.- Evaluation of Dysphagia.- Approach to abnormal liver function tests.- Work-up of Diarrhea.- Approach to the care of the solid organ transplant recipient.- Screening for lung cancer.- Approach to Hemolytic Anemia.- Management of Monoclonal Gammopathy of Uncertain Significance.- Approach to Unintentional Weight Loss.- Approach to sepsis.- Approach to fever in the hospitalized patient.- Approach to genital lesions.- Approach to pulmonary embolism.- Management of Pneumonia.- Approach to Dyspnea.- Interpretation of pulmonary function tests.- Management of Chronic Obstructive Pulmonary Disease.- Approach to sleep disordered breathing.- Approach to Acute Kidney Injury.- Approach to hyponatremia.- Workup of chronic kidney disease.- Approach to microscopic hematuria.- Prevention and management of gout.- Approach to Monoarticular Arthritis.- Management of fibromyalgia.- Approach to acute altered mental status.- Approach to vertigo.- Approach to intimate partner violence.- Approach to Contraceptive Counseling.- Approach to secondary amenorrhea.- Approach to Abnormal Uterine Bleeding.- Approach to Transgender Health.- Inpatient Treatment of Opioid Withdrawal.- Approach to determination of decision-making capacity.- Management of pharmacotherapy for depression.- Approach to pharmacotherapy for alcohol withdrawal.