Blog | Friday, December 28, 2018

The value of schema


Our research and anecdotal experience both tell us that our learners are most interested in our thought processes. I have used schema for years, but never had the right name for that process. Dr. Reza Manesh, in this episode of the Curbsiders, uses a schema to help diagnose an unknown patient. He defines it:

Diagnostic Schema

A systematic way to tackle a clinical problem by having an organized approach.

On reflection I realized that this is major tool for my teaching. I have teaching schema for chest pain, syncope, hyponatremia, etc. I wrote about my chest pain schema in 2006!

7 deadly causes of chest pain and decision aids

As a medical educator, developing such schema help us teach and give a structure for the learners to remember how to diagnose a particular problem.

Do you use schema? Reza makes a convincing case that you should.

db is the nickname for Robert M. Centor, MD, MACP. db stands both for Dr. Bob and da boss. He is an academic general internist at the University of Alabama School of Medicine, and the former Regional Dean for the Huntsville Regional Medical Campus of UASOM. He still makes inpatient rounds regularly at the Birmingham VA and Huntsville Hospital. His current titles are Professor-Emeritus and Chair-Emeritus of the ACP Board of Regents. This post originally appeared at his blog, db's Medical Rants.