Step 3. Focus the Learner on Discrete Clinical Decision Points Once the baseline information has been presented, the case study moves toward a clinical decision point. The purpose of the decision point is to focus learners' attention on discrete opportunities for informed decision-making. It is important to develop a well-defined question that addresses an educational objective. In the case example, Darrel is being discharged from the hospital after treatment for PCP, and the learner is asked to select a recommended discharge plan (see Slide 5). The learning objective for this clinical decision point anticipates that the learner will be able to "design a care plan that offers treatment and suppport for patients with comorbities (OI, substance abuse, HIV)".
If an additional educational objective had specified that the learner will be able to "select an initial antiretroviral regimen for a patient with substance dependence," then the clinical decision point could be redirected (see Slide 6 ). In this slightly different patient description, a stable living situation and drug treatment have been arranged, and the elements of the clinical decision change. Instead of focusing the decision on the types of treatment to support the patient upon discharge, the learner could choose among different antiretroviral regimens and weighs potential drug-drug interactions, adverse effects, and adherence challenges.
Next: Step 4. Present Viable Options at Decision Points |
