FLOW OF PBL MEDICINE 2 CLINICS

FIRST DAY:

1. Introduction: Students give potential causes of the presenting/chief complaint. Causes

will encompass broad categories (e.g. system involved) and specific differential
diagnosis. Doing this early on will serve to guide patient interview and allow students
to obtain key information early in the patient encounter.

2. Clinical Reasoning: Preceptor provides significant data in history (OPQRST, risk

factors, associated symptoms). From the presented data, the students will then narrow
down their differential diagnosis in no. 1.

3. Preceptors asks from the group about the expected PE findings useful in ruling
in/ruling out diagnoses

SECOND DAY:

4. Preceptors present actual PE findings and initial laboratory results. The group
interprets these. Students then make their final diagnosis.

5. Students outline management plans

*** Group answers to the questions will be written on the scoresheet below. Preceptors will
then grade group response using the expected answers indicated on the preceptors guide as
reference.
 PBL SCORESHEET
MEDICINE 2 CLINICS

GROUP NO. _____________ SEC________ DATE_____________

MEMBERS: _______________________________________________________________________________________

QUESTION GROUP RESPONSE SCORE

1. Possible
differentials
based on CC
(5 pts)

2a. Possible
differentials
based on history
(5 pts)

2b. Basis for

differentials
(15 pts)

3. EXPECTED PE
findings based
on differentials
(15 pts)
4. Interpretation
of PE and lab
findings (20 pts)

5. Final
diagnosis
(10 pts)

6. Management
plan (20 pts)

7. Group
participation
(10 pts)
TOTAL/100 PTS

PRECEPTOR: