HT312.0

Clinical Reasoning Through CPCs

Sites: HMS
Director(s): Thomas Byrne
Offered: Fall and Spring
Location: NONE - No Location
Open to Exclerks: No (HMS only)
Description: This longitudinal course will allow students in research labs to maintain clinical connections while developing and refining clinical reasoning through discussion and dissection of New England Journal of Medicine Clinical Pathologic Conferences (CPCs). The course specifically targets MD students who are taking a "5th year" to do research as well as MD/PhD students who have already completed their qualifying exams. The format will involve students reading a case presentation before each class meeting, discussing the case presentation in class, arriving at a differential diagnosis, and discussing the NEJM expert's differential diagnosis and management, before evaluating the pathological diagnosis. The course will be taught by a neurologist and neuro-oncologist, Dr. Thomas Byrne, Clinical Professor of Neurology and HST, who is consistently cited as one of the best clinical faculty in the New Pathway neurobiology block. Although the cases will be principally neurological presentations, the clinical entities to be discussed involve a broad spectrum of diseases including inflammatory, toxic-metabolic, infectious, vascular, neoplastic, endocrine, genetic and degenerative, and students will, thereby, have a superior overview of multiple pathogenic entities over the course of a year. Each session will involve two hours in class in the early evening in the TMEC; the frequency will be twice a month to begin between 4:00 and 6:30 pm. The course is offered for credit with evaluations based on attendance and participation.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The cases to be discussed are those of the Case Records of the MGH in the New England Journal of Medicine. These cases are selected by the Journal in order to illustrate the pathogenesis of disease working from its clinical presentation to its etiology. The NEJM discussants review the cases and provide an expert analysis of the clinical presentation, pathogenesis of the potential etiologies and the evidence to support various diseases and management.
Grade Criteria:
Satisfactory:
Student attends 70% of the classes and participates in sessions.

Unsatisfactory:
Student does not meet attendance and participation requirements.