STUDENT CASE PLAY INSTRUCTIONS
follow the assignment due dates listed in Black80arcL The due dates listed in the i-Human wogram are NOT the due
dates for the assignments The dates listed in i-Human are for -eministrative purposes only. All L Hum-n cases completed after
the due date isled in BlackBoard will be late
Below is the breakdown of the grading rubric for this Basic 001 case. You vall allowed to push the Interview Progress Button
and receive feedback on your history questions, 5 hints for the learning mode cases only. Your history question limit for your
patient is 100 questions, please use them wisely.
a) HPI statement (15% of grade)
b) History (10% of grade)
c) Physical Ex am (10% of gra«le)
d) Diagnostic testing (10% of grade)
c) Appropriate selection and ranking of differential diagnoses (20%)
d) Plan covering all critical components of patients final diagnosis (30%)
e)Clinical exercises (5%.)
The software platform is designed to help you become proficient In the diagnostic reasoning process (a the steps prior t' the final
diagwsis). so yc•u can apply this process in the real clinic setting. Key to minimizing medial errors is the clinical considerition of a
broad differential diagnosis list and the selection of tasts to either "rule in' or •rule out" these diagnoses
Detailed Instructi ons Below:
NOTE from your INSTRUCTOR: You are required to complete the HPI portion Qfthe EMR. This section can found by clicking on the
"Patient Recorda tab on the side of t,qur case ane is available to access until you complete the case and subnit. Once your Gase
assignment has been submitted you cannot go bdGK and change any sections of your case assignment
1 Take the patient's history You are limited to maximum of 'OO history questions.
Assess all aspects of the patients HPI and pertinent related histary_
z Decide if this is a patient that can be treate< as an outpatient. ie_, a focused case with fewer history questions needed versus
a
patient w•ha might hospitalized far treatment, i.e., case where all components of a history shoukl be
investigated. DO you have a prior chad review?
Document the chief complaint z Document anv abnormal history or
complaints on your Kev Finding list
The Interview Progress Button can be used up to as designated above to give you feedback on how Glase you are to asking all
the authors Lrequired questions"
2 Proceed to perform a PHYSICAL EXAM_
z Assess vital signs and perform the examination appropriate for the type af case identified by the above history. Remember the
comprehensive require a comprehensive physical.
, 3 Docunment: abnornwal history and physical findings on your Key Finding list _
4 If','rite a HPI and include it in the correct place as —art oftBe EMR
Start with the demographic introduction of your patient and their Chief complaint. Include data on all aspects of the
History of Present Illness as well as pertinent medical history, current medications, and other history data that would help
suppolt your diagnosis.
S Cornplete your differential diagnosis list.
Yau may start your differential during the history tahng section. Out aner completing the problem statement, reflect
and finalize paur differential diagnosis list. Remember, this parl o.' the case will be scored on how comprehensive this list i:s_
YOU will not lase paints for having toa many, paints are lost only if you have too few. The average list zontains S diagnoses.
8 Order Tests
Order tests for your top 2 diagnoses only and link it to a diagnosie Some tests are ordered to "rule in" a diagnosis wfiiile others
are ordered to "rule out* diagnosis_
7 Review test results
Select a final diagnosis
Develop a treatment plan as de—oribed by your course director
111 Submit your case and review your case play score
-IL Submit your case and review your ease play score
DC NOT tor to seem the system by just clicking on eve•vthing_ The soft-ware tracks not only what is done, but also keeps track Of
the order at completion. C]icking on time first opening question and then just going down the list at questions in time history is
as "scan-in-ting" the system and can result in a score af ZERO—same principle applies to each section _ The tiinme for
completion Of the case, as as time spent in each section of the case is also recorded _ This data has been shown to correlate witn
case perfornmance Very short times have lavver scores as do very long times. The forn-•er is most likely ciue to lack af effort while
the latter may Lbe because the user is receiving multiple interruptions The score then mast likely reflects "lack of continuity* Of
thought_ Try to set aside enough tinne to complete the c.ase in its entirety in a single sitting.
HELPFUL HINTS
The Avatars and cases in the 'HP case library are based on "real patients* _ If the Avatar pro«ides confusing infornvation, this is
intentional oft—n what find real patients gravid: incongruent information. For example, the Avatar ttn— term "rash" for skin lesions
that are nat by medical definition a rash—just like real patients. Avatars may refuse to ansu•er questions. just like real patients
Phrasing of questions IS important. Asking a "similar question that is less specific may not Oe scared correct if it does not tha clarity
of information needed to narrcrw• the differential. All these small nuances in the case design were intentional and replicate the
Shallerrges yau will face real patients in a clinical setting My recommendation is to pretend this És a real clinical patient encounter
and select a time so you can enjoy the process and not feel pressured far time Rernember, yau are not scored Dn whether you get
the correct diagnosis, but rather have you the process. Mastery Of the process will help yau avoid making diagnostic errors
throughout clinical career_
IYO History physical Exam Assessment Tests Diagnosis plan Summary
Questions you ask now (after evaluation) don't affect y ourscore.
Choose a category: Or, ask a question. Complete questions work best.
lhierview Opening
Constitutional Complaints
How can help you today?
Other Complaints (A - H)
What has been happening since your last visit?
Other Complaints (I - Z} Do you Have any other symptoms or concerns we should discuss?
HPF pain Complaints (A- H) Do you nave vein anywhere? If so. whereo
v,'hat symptom is the most distressing tor you?
HPI: Pain Complaints (1 - Z)
Has anyone else you know developed these symptoms?
HP psychological Complaints
Tell me how that makes you feel.
HR l: Sensation & Movement How does this affect your life?
,CompFaints
What ts your name?
Past Medical History (PMH)
Where are you?
Family Medical History (FH)
VVhat time is it?
social Hx
VaVhat happened?
Diet
Review of Systems (ROS)
,
follow the assignment due dates listed in Black80arcL The due dates listed in the i-Human wogram are NOT the due
dates for the assignments The dates listed in i-Human are for -eministrative purposes only. All L Hum-n cases completed after
the due date isled in BlackBoard will be late
Below is the breakdown of the grading rubric for this Basic 001 case. You vall allowed to push the Interview Progress Button
and receive feedback on your history questions, 5 hints for the learning mode cases only. Your history question limit for your
patient is 100 questions, please use them wisely.
a) HPI statement (15% of grade)
b) History (10% of grade)
c) Physical Ex am (10% of gra«le)
d) Diagnostic testing (10% of grade)
c) Appropriate selection and ranking of differential diagnoses (20%)
d) Plan covering all critical components of patients final diagnosis (30%)
e)Clinical exercises (5%.)
The software platform is designed to help you become proficient In the diagnostic reasoning process (a the steps prior t' the final
diagwsis). so yc•u can apply this process in the real clinic setting. Key to minimizing medial errors is the clinical considerition of a
broad differential diagnosis list and the selection of tasts to either "rule in' or •rule out" these diagnoses
Detailed Instructi ons Below:
NOTE from your INSTRUCTOR: You are required to complete the HPI portion Qfthe EMR. This section can found by clicking on the
"Patient Recorda tab on the side of t,qur case ane is available to access until you complete the case and subnit. Once your Gase
assignment has been submitted you cannot go bdGK and change any sections of your case assignment
1 Take the patient's history You are limited to maximum of 'OO history questions.
Assess all aspects of the patients HPI and pertinent related histary_
z Decide if this is a patient that can be treate< as an outpatient. ie_, a focused case with fewer history questions needed versus
a
patient w•ha might hospitalized far treatment, i.e., case where all components of a history shoukl be
investigated. DO you have a prior chad review?
Document the chief complaint z Document anv abnormal history or
complaints on your Kev Finding list
The Interview Progress Button can be used up to as designated above to give you feedback on how Glase you are to asking all
the authors Lrequired questions"
2 Proceed to perform a PHYSICAL EXAM_
z Assess vital signs and perform the examination appropriate for the type af case identified by the above history. Remember the
comprehensive require a comprehensive physical.
, 3 Docunment: abnornwal history and physical findings on your Key Finding list _
4 If','rite a HPI and include it in the correct place as —art oftBe EMR
Start with the demographic introduction of your patient and their Chief complaint. Include data on all aspects of the
History of Present Illness as well as pertinent medical history, current medications, and other history data that would help
suppolt your diagnosis.
S Cornplete your differential diagnosis list.
Yau may start your differential during the history tahng section. Out aner completing the problem statement, reflect
and finalize paur differential diagnosis list. Remember, this parl o.' the case will be scored on how comprehensive this list i:s_
YOU will not lase paints for having toa many, paints are lost only if you have too few. The average list zontains S diagnoses.
8 Order Tests
Order tests for your top 2 diagnoses only and link it to a diagnosie Some tests are ordered to "rule in" a diagnosis wfiiile others
are ordered to "rule out* diagnosis_
7 Review test results
Select a final diagnosis
Develop a treatment plan as de—oribed by your course director
111 Submit your case and review your case play score
-IL Submit your case and review your ease play score
DC NOT tor to seem the system by just clicking on eve•vthing_ The soft-ware tracks not only what is done, but also keeps track Of
the order at completion. C]icking on time first opening question and then just going down the list at questions in time history is
as "scan-in-ting" the system and can result in a score af ZERO—same principle applies to each section _ The tiinme for
completion Of the case, as as time spent in each section of the case is also recorded _ This data has been shown to correlate witn
case perfornmance Very short times have lavver scores as do very long times. The forn-•er is most likely ciue to lack af effort while
the latter may Lbe because the user is receiving multiple interruptions The score then mast likely reflects "lack of continuity* Of
thought_ Try to set aside enough tinne to complete the c.ase in its entirety in a single sitting.
HELPFUL HINTS
The Avatars and cases in the 'HP case library are based on "real patients* _ If the Avatar pro«ides confusing infornvation, this is
intentional oft—n what find real patients gravid: incongruent information. For example, the Avatar ttn— term "rash" for skin lesions
that are nat by medical definition a rash—just like real patients. Avatars may refuse to ansu•er questions. just like real patients
Phrasing of questions IS important. Asking a "similar question that is less specific may not Oe scared correct if it does not tha clarity
of information needed to narrcrw• the differential. All these small nuances in the case design were intentional and replicate the
Shallerrges yau will face real patients in a clinical setting My recommendation is to pretend this És a real clinical patient encounter
and select a time so you can enjoy the process and not feel pressured far time Rernember, yau are not scored Dn whether you get
the correct diagnosis, but rather have you the process. Mastery Of the process will help yau avoid making diagnostic errors
throughout clinical career_
IYO History physical Exam Assessment Tests Diagnosis plan Summary
Questions you ask now (after evaluation) don't affect y ourscore.
Choose a category: Or, ask a question. Complete questions work best.
lhierview Opening
Constitutional Complaints
How can help you today?
Other Complaints (A - H)
What has been happening since your last visit?
Other Complaints (I - Z} Do you Have any other symptoms or concerns we should discuss?
HPF pain Complaints (A- H) Do you nave vein anywhere? If so. whereo
v,'hat symptom is the most distressing tor you?
HPI: Pain Complaints (1 - Z)
Has anyone else you know developed these symptoms?
HP psychological Complaints
Tell me how that makes you feel.
HR l: Sensation & Movement How does this affect your life?
,CompFaints
What ts your name?
Past Medical History (PMH)
Where are you?
Family Medical History (FH)
VVhat time is it?
social Hx
VaVhat happened?
Diet
Review of Systems (ROS)
,
