Step 5. Analyze Options and Select One Course of Action In Step 5, the instructor identifies the preferred response from among the multiple choices once learners have had a chance to consider (and possibly vote on) the alternatives. At this point, the case study presentation usually includes a brief lecture segment supporting the relevant clinical issues related to the preferred response. If available, new developments and current data supporting the preferred choice are presented. The current data are discussed in the context of the patient's situation, and the various options are contrasted and weighed. Slides 9 and 10 illustrate 2 formats for presenting a preferred option. Slide 9 presents only the preferred option and provides a brief rationale for it. Slide 10 shows the preferred option highlighted to stand out among all the other options.
Slides 11 and 12 list a number of factors that support the decision on how care was prioritized for this patient. The discussion could expand on any of these topics. If, as discussed above, the clinical decision point focused on selecting a specific antiretroviral regimen, these slides could present data on drug characteristics and potential interactions with methadone and heroin.
An important part of presenting the preferred response in Step 5 is the discussion and review of alternative options. This is an opportunity to present data and demonstrate the decision-making process. Slide 13 illustrates one format for presenting each of the options not selected, accompanied by a brief explanation of why, in the context of this case study, another strategy is preferred.
Next: Step 6. Introduce New Information and Continue to Next Clinical Decision Point | 
