PROBLEM-BASED LEARNING ON PHYSICIAN RESPONSIBILITY
GUIDE FOR THE FACULTY/STUDENT-FACILITATOR
ANSWER GUIDE IN THE MANAGEMENT PLAN
PROBLEM:
Responsibility: Managing a Patient with a Health Problem
Scenario:
You are the physician assigned to man a medical clinic. One day, a 10-year-old boy is brought to the clinic by his mother. The mother tells you her child just has a bad fall while biking. You see the boy crying in pain with a swollen deformed right forearm.
Given a responsibility of a physician.which is to manage a patient with a health problem, and given a particular scenario, make a management plan.
ANALYSIS OF THE PROBLEM:
Guide Questions and Answer Guides:
1. What are the competencies you need to have to be able to make a management plan?
Answer guide:
1. Steps in doing a management plan.
2. Analysis of the scenario to come out with a management plan.
2. Do you have these competencies?
3. Do you know the different steps in doing a management plan?
Answer guide:
1. Situational analysis
2. Formulating objectives
3. Formulating strategies
4. Formulating methods of assessment
5. Formulating evaluation indicators
4. Do you know the three big functions of a physician?
Answer guide:
1. Diagnose
2. Treat
3. Advice
5. Based on the different steps of a management plan and based on the three big functions of a physician, analyze the scenario. In other words, make a management plan based on the given scenario.
Situational analysis
A patient
A 10-year-old boy
fall while biking
painful, swollen, deformed right forearm
Objectives
1. To diagnose accurately the problem
To identify the problem - pain, swelling, deformity
To identify deeper problem, such as fracture, dislocation, and faulty health practice
2. To treat correctly the pain, swelling, deformity, deeper problems if any
3. To advise patient/mother clearly with empathy and compassion on the
diagnosis
treatment
rehabilitation
health maintenance
Strategies
1.1 History/interview
1.2 Physical examination
1.3 Paraclinical diagnostic procedures
2.1 Nonoperative treatment
warm compress, analgesics, advice
2.2 Operative treatment, if there is an indication such as dislocation or fracture
3. Give clear advice showing empathy and compassion
Methods of assessment of outcome
1. History/interview
2. Physical examination
3. Paraclinical diagnostic procedures, if warranted
Evaluation indicators
1. Problem solved
No more pain
No more swelling
No more deformity
If there is a fracture/dislocation, solved
2. Correct diagnosis
3. Treatment without complications
4. Patient and mother properly advised
5. Patient and mother satisfied with my management
LEARNING PLAN:
Specific Learning Objectives:
1. To concisely discuss ......
2. To concisely outline ......
3. To concisely enumerate ......
4. To concisely write a management plan ......
others
Learning strategies:
Read ..... what ..... where ..... when
Interview ..... who ..... what ..... where..... when
others
Methods of assessment:
Feedback
Self/peer/faculty assessment
others
Evaluation indicators:
Achievement of objectives
others
NOTE: THE LEARNING PLAN PUT UP BY THE STUDENT AND APPROVED BY THE FACULTY BECOMES THE LEARNING CONTRACT OR AGREEMENT. A COPY OF THE LEARNING PLAN SHOULD BE SUBMITTED TO THE FACULTY AT THE 2ND PBL SESSION. THIS SHOULD BE KEPT FOR FILE AND SUBMITTED TO THE COURSE COORDINATOR.
ROJ@17apr5;17may3