Friday, February 18, 2022

Dashboard for our current CBBLE (case based blended learning ecosystem) with brief history timeline

There is a detailed timeline linked below but let's start from the time we started an elective learning program for those interested in solving "wicked problems" in healthcare with a focus on individual patients and although in various institutions since its inception a decade ago, it is currently linked here : 

medicinedepartment.blogspot.com/2021/03/medicine-department-training-programs.html?m=0

Below is the previous link from it's nominal sponsor:

https://web.archive.org/web/20180919211055/https://promotions.bmj.com/jnl/bmj-case-reports-student-electives-2/


There is more here about how the elective program began and gradually worked parallely with our research into "user driven healthcare UDHC :



Here's about how it transformed into the current CBBLE since 2017 at Narketpally : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6163835/

More timeline at the bottom of this write up. 

Current CBBLE dashboard :

E logged online learning portfolios (currently around thousand portfolios of 200 students from five batches logging around 5000 case reports) that are displayed for each batch entry year wise here :

MBBS 

2013: 










MD General Medicine :










BDS:




Elective students :


Our current CBBLE is being further developed by some of our recent past students through a quality improvement QI project detailed here : https://adityasamitinjay.blogspot.com/2022/02/quality-improvement-cycle-1-of-teaching.html?m=1

Timeline from 2 decades back :



A picture of the way to our campus auditorium  where the offline component of our CBBLE partly  operates 

Saturday, January 22, 2022

Revised conference schedule "2022 Clinical Problem solving

 

Please refer to the changes shared below in our initial conference schedule shared here:  http://medicinedepartment.blogspot.com/2021/12/medicine-conference-on-theme-clinical.html?m=1

To accommodate our US experts so that they can finish and go to sleep we are starting with them at 8:00 AM and as our keynote speaker, Prof Anand has to return to his meeting in IIT Chennai (which he is having to break from to attend ours) we shall also let Prof Anand have the first speech.

So the revised order of conference speakers is:

US Experts first at 8:00 AM,  25th January 2020 👇

Prof Michele Meltzer online from Philadelphia 

Prof Binod Dhakal online from Wisconsin 

Followed by Prof Akshay Anand's keynote offline at Narketpally 

Followed by Dr. Aashita offline at Narketpally (and expert Dr Kaushik Sundar  Neurologist online from Kolkata) 

And then accompanied by offline moderators (Faculty of Medicine along with guest faculty already detailed in the original link here : http://medicinedepartment.blogspot.com/2021/12/medicine-conference-on-theme-clinical.html?m=1) we have next in the list of day speakers: 

Dr Rashmita offline at Narketpally 

Dr A Vaishnavi offline at Narketpally 

Dr K Vaishnavi offline at Narketpally 

Post lunch 👇

Dr Nikita (along with expert Dr Usha offline) at Narketpally 

Dr Ajit offline at Narketpally (along with expert Prof Preeti Nair online from Bhopal) 

Dr Susmitha  (along with expert Dr Usha offline) at Narketpally 

Dr Ushashree (along with expert Dr Usha offline) at Narketpally 

Dr Divya (along with expert Dr Usha offline) at Narketpally 

Dr Zain (along with expert Dr Usha offline) at Narketpally 

Followed by 

Prize distribution 

Vote of thanks



Monday, January 17, 2022

List of specially invited delegates to the 2022 Clinical Problem Solving conference

Dear Dr, This is to welcome you as a specially invited delegate in the 2022 clinical problem solving conference in view of your past competencies, demonstrated interest and future potential for scholarship and leadership in this area (also evidenced by your published online learning portfolio linked below). 


It's possible that we have overlooked and missed other students whose talents have been invisible to us for some reason and we hope we shall be able to discover more such talents in the near future. 

Three of you have also been invited in the additional capacity of a 
vocalist musician before each session.

As a delegate you receive a certificate and a delegate badge along with the usual conference food. 


best, 

rb 
 
2019 MBBS:

Mythili 

Anahita Behera 

Rishitha 

Sanjana 

Riddhi Bhalla 


Kavyasree 


Also as a vocalist musician before each session. 


2018 MBBS:

Sravani 


Animisha Vittalapuram

Manisha Ranga 


Kshitij Sharma 


2017 MBBS:

Jahnavi 


Saket 


Kattekola Sathwik


Also as a vocalist musician before each session. 

Hyndavi Konakanchi


Muskaan Goyal

Saranya Mukharjee


2016 MBBS :

Varaprasad

Simran Dash 

Muskaan Meghwani 

Srivalli 

Rishik 

Sahithya 

Sai Bhavana 

Nikita P

Pavan Bhasin 

Sakshi 

Shivani 

Madhumita 

Chitra 

Divya Mahapatra 

Mahith 

Moulika 

Pavani 

Trishala 


2018 MD :

Aditya Samitinjay 





























Thursday, January 13, 2022

Clinical problem solving Prize Jan 2022 monthly assessment paper (Online assignment)

Introduction :


This month's and year's first assessment paper assignment is also focused on the idea of rewarding our regular trainees around the occasion of our annual "clinical problem solving" conference.

Our formal training program in "clinical problem solving" is also a mandatory requirement for passing the final summative assessments (aka MBBS and MD exams) toward a licence to practice medicine and this year we have already nominated a few potential prize winning contributions in clinical problem solving from 2020-21 similar to the samples here :  https://medicinedepartment.blogspot.com/2022/01/sample-clinical-problem-solving-logs.html?m=1, which have been chosen from around 1000 "clinical problem solving" submissions hosted in the "online learning portfolios" of all our trainees accessible full text here : http://medicinedepartment.blogspot.com/2021/07/?m=0

The clinical problem solving awards are given on the basis of the trainees overall performance reflected in their E log links representing their "online learning portfolios," containing their "clinical problem solving" contributions either in their daily patient centered case reports as well as their submissions to  monthly online assignments such as this one. 

Answer all questions:                                                      

Max Marks: 100 (5 questions in total and 20 marks for each  answer) 

Submit by:   20/01/2022              

Please be original and refrain from plagiarism. Please note that every logged answer paper should contain the link to this current "assignment/question paper" page and the patient context for each answer. Also share the detailed online links to every quote or reference cited in your answer. 



Questions plan and context:

All "clinical problem solving" questions are around student driven patient centered case reports prepared by our students from our real but deidentified patients. 

Please review one E logged case report link around the cases that are going to be presented in the upcoming Jan 25th 2022 clinical problem solving conference already shared full text by the speakers here : http://medicinedepartment.blogspot.com/2021/12/medicine-conference-on-theme-clinical.html?m=1


Q1) Please go through one of  the case reports in the conference link shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared.


Q2: Please analyze the linked case report current patient data by first preparing a problem list for each patient in order of perceived priority (based on the shared data) and then discuss the diagnostic and therapeutic uncertainty around solving those problems. 

Q3) Include the review of literature around sensitivity and specificity of the diagnostic interventions mentioned and same around efficacy of the therapeutic interventions mentioned for each patient and suggest innovative solutions (mentioning how one may design an ethical trial to scale the proposed innovative solution).

Q4) Share the link to your own case report this month of a patient that you connected with and engaged while capturing his her sequential life events before and after the illness and clinical and investigational images along with your discussion of that case. 


Q 5) Please reflect on your patient centered experiences that you had while solving their problems this month. 

A sample answer to this last assignment around sharing your experience log of the month can be seen in one student's  answer to Q10 in the  May 2021 assignment in the link below:


And another student answer to Q5 in the June and July 2021 assignment in the links below :




Footnotes :

Q1 tests for 
peer review competency in the active reader of this assignment

Q2 tests scholarship competency of the examinees ( ability to read comprehend, analyze, reflect upon and discuss captured patient centered data).

Q3 tests system 2 cognition in 'clinical problem solving' and it's 'representation' skills that may enable one to make an impact on their local and global learning and caring ecosystems. 

Q4 tests competency in patient data capture and representation through ethical case reporting/case presentation with signed informed consent from the patient. 

Q5 tests reflective learning and leadership  competency vital to developing a "patient centered medical cognition." 

Sample answers to the above assignment :










Tuesday, January 11, 2022

Sample "clinical problem solving logs" from 2020-21.

This clarifies further on our call here: http://medicinedepartment.blogspot.com/2022/01/inviting-potential-prize-winners-and.html?m=1 for delegates to our clinical problem solving 2022 conference hackathon for which "clinical problem solving 2022" prizes will be awarded. 

To understand the process further please find below a few sample "clinical problem solving logs" from 2020-21. 

MBBS 2016 current intern batch clinical problems archived and solved when they were 4rth year medical students :

Paraparesis :



Shortness of breath :


Three students with the same patient interviewed through Telemedicine during lockdown :



PUO:




Malignancy paraplegia :


Down's syndrome :


Osteomalacia :


PG of 2018 entry to MD Medicine :

Polyarthritis and anasarca :


Clinical problem solving presentation video : 


Traumatic brain injury and patient centered medical cognition :


Elective students





Saturday, January 8, 2022

Inviting potential prize winners and delegates for "clinical problem solving 2022"

This is a call for early bird, free registration of delegates to the Jan 25, "Clinical problem solving 2022" conference with a chance to win clinical problem solving prizes, where delegates will be chosen based on their early bird online responses to the 10 semistructured clinical problems shared in our conference webpage here : http://medicinedepartment.blogspot.com/2021/12/medicine-conference-on-theme-clinical.html?m=1

The problems are shared in the webpage schedule through linked semi structured case reports that will also be physically discussed during the conference by our current featured speakers. 

Meanwhile we are looking forward to potential delegates and prize winners going through these problems and submitting their "clinical problem solving" entries in the following steps :

a) Prepare a problem list 

b) Identify the patient problem solution requirements in terms of priority 

c) Suggest current standard evidence based solutions (mentioning the RCT evidence available in a PICO format) 

as well as 

d) suggest innovative solutions (mentioning how they may design an ethical trial to scale their proposed innovative solution)

Entries need to be made in the potential delagate's blog and depending on it's merit there can be a discussion with the organizing team (either in the comments page of the delegate's blog or on whatsapp text or email), and the entries generating the best discussion and learning insights will receive the "2022 clinical problem solving prizes" that will be announced at the end of the conference. 

 a few sample logs of our clinical problem solving 2020-21 students. 

Other than clinical problem solvers, we also welcome as delegates, classical singers or musicians (who are medical students or just clinical problem solving enthusiasts from any discipline), as we are looking forward to having a short classical music piece sung or played by a talented delegate before each session. They may want to share their own YouTube channel archives for us to send them a delegate confirmation.   

Free delegate registration confirmation will be sent by whatsapp text or email depending on the potential delegate's above mentioned inputs not later than January 20th.   

Free delegate registration essentially includes offline participant delagate pass at the conference venue, CME credit hours and breakfast, lunch, tea. The conference is single day from 8AM to 5:00 PM at Narketpally. 

Our institution also hosts a Clinical problem solving elective with opportunities to publish their clinical problem solving case reports in BMJ Case reports detailed here :  https://casereports.bmj.com/pages/bmj-case-reports-student-electives/


We also have a 24x7 clinical problem solving discussion group on whatsapp that interested participants may want to join by clicking on this invitation link here : https://chat.whatsapp.com/COseVfeErbQ4sGyCyTtsf9