Jane E O`Rorke, MD, FACP

Abstract

Sehgal R, Ozment, K, Hanson JT, Ratcliffe TA, O`Rorke JE. The Effect of Triage Diagnosis on Clinical Reasoning; 2017 Apr. (Journal of General Internal Medicine; vol. 32, no. Supp2).

Electronic/Web Publication

O`Rorke JE, Quinn RH. Interactive case-based clinical approach to the painful shoulder, elbow, and cervical neck 2015 Nov. Available from: https://www.mededportal.org/ The material in this submission is for clinical faculty as they organize and present a learning session for pre-clerkship medical students on the clinical workup of shoulder pain, elbow pain and wrist/hand pain. Ideally an internist or family practitioner in combination with an orthopedic surgeon should present the session. The cases take the learner from initial presentation to surgical intervention.

For the session, the submitted material includes a list of questions for students to use in preparation for the session and a PowerPoint to be used by the faculty. The PowerPoint has audience response questions, activities to be completed in pairs or individually and videos.

This format can be used for very large groups (200+) or smaller groups. Its implementation does not require large amounts of faculty time and resources. We taught the material in a 3-hour session with 2 ten-minute breaks.

Diagnoses covered in this presentation include
1. Impingement syndrome of the shoulder
2. Rotator cuff tear
3. Lateral epicondylitis
4. Carpal tunnel syndrome
5. Distal radius fracture
6. Proximal humerus fracture
7. Cervical radiculopathy

This material was developed for the 2nd year medical clinical skills course at the University of Texas Health Science Center in San Antonio.
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