You note his myalgias are focussed in the hip and shoulder girdle and are associated with predominant morning stiffness. You feel the most likely diagnosis is polymyalgia rheumatica. However, when you explain this to the patient he says that these symptoms all started three weeks after he returned from a trip to the Caribbean and southern Florida and he asks if he should be tested for Chikungunya as he has heard that it is prevalent in these areas. 4. Focus of the script: (in this example) Evidence-informed decision-making (EIDM) What CONTENT What PROCESS EIDM SAMPLE about EIDM skills EIDM skills task script wording would you like to would you like to highlight highlight 1.Identified Begin by acknowledging to the patient The PICO question For a practice evidence that you need to read a little further format: scenario, formulate a question about whether that testing would be Population well-structured appropriate in his case. Intervention question using a Consider what your specific knowledge Comparator specific framework gaps in this are. Outcome (Scholar 3.3, Entry to Now remind yourself of the PICO residency milestone) framework for composing specific Generate focused searchable questions. questions that It appears in this setting that you are address practice aware of this disorder but are not sure uncertainty and about the best way to test for it. knowledge gaps The question could be posed as: (Scholar 3.1, Core of In patients who have travelled to south discipline milestone) Florida and the Caribbean how accurate is clinical history with or without specific serology for ruling out Chikungunya disease? Now lets try to practice using this question framework as clinical questions come up through the morning. 2.Developed The next question is do we need to Describe the Select appropriate search search the primary literature or is there advantages and sources of strategy a trustworthy pre-appraised source that limitations of pre- knowledge as they can provide this answer. appraised resources relate to addressing Discuss with the learner what (Scholar 3.2 to focused questions sources they feel are residency (Scholar 3.2 Entry to trustworthy and compare to your own milestone) residency milestone) list
You note his myalgias are focussed in the hip and shoulder girdle and are associated with predominant morning stiffness. You feel the most likely diagnosis is polymyalgia rheumatica. However, when you explain this to the patient he says that these symptoms all started three weeks after he returned from a trip to the Caribbean and southern Florida and he asks if he should be tested for Chikungunya as he has heard that it is prevalent in these areas. 4. Focus of the script: (in this example) Evidence-informed decision-making (EIDM) EIDM skills task SAMPLE script wording What CONTENT about EIDM would you like to highlight What PROCESS skills EIDM would you like to highlight 1.Identified evidence question Begin by acknowledging to the patient that you need to read a little further about whether that testing would be appropriate in his case. Consider what your specific knowledge gaps in this are. Now remind yourself of the PICO framework for composing specific searchable questions. It appears in this setting that you are aware of this disorder but are not sure about the best way to test for it. The question could be posed as: In patients who have travelled to south Florida and the Caribbean how accurate is clinical history with or without specific serology for ruling out Chikungunya disease? Now lets try to practice using this question framework as clinical questions come up through the morning. The PICO question format: Population Intervention Comparator Outcome For a practice scenario, formulate a well-structured question using a specific framework (Scholar 3.3, Entry to residency milestone) Generate focused questions that address practice uncertainty and knowledge gaps (Scholar 3.1, Core of discipline milestone) 2.Developed search strategy The next question is do we need to search the primary literature or is there a trustworthy pre-appraised source that can provide this answer. Discuss with the learner what sources they feel are trustworthy and compare to your own list Describe the advantages and limitations of pre- appraised resources (Scholar 3.2 to residency milestone) Select appropriate sources of knowledge as they relate to addressing focused questions (Scholar 3.2 Entry to residency milestone)
Scholar_T5%20Teaching%20Scripts_Teaching%20Script%20sample%20and%20template%20for%20EIDM.docx