Artifact 11

As a maternal fetal medicine physician, I work closely with people pregnant with twins. Monochorionic diamniotic twins are identical twins that are at risk for unique complications like twin twin transfusion syndrome (TTTS) where due to an imbalance of circulation in the placenta there is risk for the demise of one or both babies. Another complication is the selective growth abnormalities in one twin, who can then get very sick and pass away and potentially result in the demise of the other twin as well. The flowchart demonstrates how to manage these 2 complications based on their ultrasound findings. The management of these conditions is often very confusing to most obstetricians and creating a flowchart helps simplify some of the decision-making process. 

I used PowerPoint to help create the flowchart. The information was gathered from the reference listed. I created text boxes and shapes around the boxes to demonstrate different phases in the evaluation process. The colors were added to help provide some guidance to common themes. The arrows were then added to guide the viewer based on the answers to the evaluation. The final boxes at the bottom are the management options. All the boxes, arrows and text were then grouped together and the entire flowchart was converted to photo. 

Reviewing this module, I learned about data presentation. The most common way to present data is by text, however as the saying goes “a picture is worth a thousand words”, providing images is a very effective way to communicate complex processes in an easy to read format. I learned that creating these images however is not always easy to do. Highlighting the most important aspects of the clinical condition needed to help with decision making is often challenging but this project was rewarding as I can see how this will help other clinical care teams. 

Nassr et al., UOG 2023, Colmant et al. BJOG 2020