This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, todays physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts.
A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks.
Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physicians assistants, nurse practitioners, and all others who teach and learn internal medicine.
Introduction.- How to create a teaching script for a chalk talk.- How
to use a teaching script to deliver a chalk talk.- Management of Acute
Coronary Syndromes.- Management of acute decompensated heart
failure.- Interpretation of pacemaker settings.- Secondary hypertension.-
Approach to Hypertension.- Stroke prophylaxis in atrial fibrillation.-
Work-up for chest pain in the clinic.- Management of Hyperosmotic
Hyperglycemia.- Management of Symptomatic Hypercalcemia.- Management of Type
2 Diabetes.- Management of Incidental Thyroid Nodules.- Management of
Osteoporosis.- Management of Gastrointestinal Bleeding.- Management of
Clostridium difficile infection.- Evaluation of Dysphagia.- Approach to
abnormal liver function tests.- Work-up of Diarrhea.- Approach to the care of
the solid organ transplant recipient.- Screening for lung cancer.- Approach
to Hemolytic Anemia.- Management of Monoclonal Gammopathy of Uncertain
Significance.- Approach to UnintentionalWeight Loss.- Approach to sepsis.-
Approach to fever in the hospitalized patient.- Approach to genital lesions.-
Approach to pulmonary embolism.- Management of Pneumonia.- Approach to
Dyspnea.- Interpretation of pulmonary function tests.- Management of Chronic
Obstructive Pulmonary Disease.- Approach to sleep disordered breathing.-
Approach to Acute Kidney Injury.- Approach to hyponatremia.- Workup of
chronic kidney disease.- Approach to microscopic hematuria.- Prevention and
management of gout.- Approach to Monoarticular Arthritis.- Management of
fibromyalgia.- Approach to acute altered mental status.- Approach to
vertigo.- Approach to intimate partner violence.- Approach to Contraceptive
Counseling.- Approach to secondary amenorrhea.- Approach to Abnormal Uterine
Bleeding.- Approach to Transgender Health.- Inpatient Treatment of Opioid
Withdrawal.- Approach to determination of decision-making capacity.-
Management of pharmacotherapy for depression.- Approach to pharmacotherapyfor
alcohol withdrawal.
Somnath Mookherjee, MD
University of Washington
Division of General Internal Medicine
Seattle, WA, USA
Lauren A. Beste, MD, MSc
University of Washington
Division of General Internal Medicine
Seattle, WA, USA
Jared W. Klein, MD, MPH
University of Washington
Division of General Internal Medicine
Seattle, WA, USA
Jennifer Wright, MD,
University of Washington
Division of General Internal Medicine
Seattle, WA, USA
