New methods of practice-oriented teaching of dermatology on the base of a dermatological clinic
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2019;18(1):85-91.
The unique character of medical education on the base of the outpatient department has created challenges in teaching and learning that cannot be solved merely by the adaptation of traditional inpatient approaches. Case-based teaching with dermatological patients is a key to an effective practice-oriented teaching and learning strategy focused on solving medical problems in dermatology. The article reviews the most popular case-based teaching methods with the use of interactive teaching practices. One-minute preceptor method, SNAPPS model and teaching based on the phenomenon of pattern recognition are favoured case-based teaching methods in the ambulant clinic conditions. Method of pattern recognition is especially useful since it is a great way for students to generate a mental database of common dermatological conditions. The learner-centered model intended for case presentations to the preceptor follows a mnemonics called SNAPPS, it consists of six steps: (1) Summarize briefly the case history and examination findings; (2) Narrow the differential diagnosis to two or three relevant possible pathologies; (3) Analyze diseases the differential diagnosis is composed of by comparing and contrasting them; (4) Probe into the case by asking the preceptor questions about existing uncertainties, difficulties, or alternative approaches; (5) Plan the management for the patient on the basis of his/her case; and (6) Select a case-related issue for self-directed learning. All these methods are intended for the use within the framework of standard teaching in the ambulant clinic conditions.
Key words: practice-oriented teaching, dermatology, cases from practice.
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Information about authors:
Adaskevich U.P. – Doctor of Medical Sciences, professor, head of the Chair of Dermatovenereology, Vitebsk State Order of Peoples’ Friendship Medical University.