Lynn-Beth Satterly, MD, MS, is a professor and the associate director of the Le Moyne College Physician Assistant Program, Syracuse, New York.
J Physician Assist Educ. 2020 Jun;31(2):77-84. doi: 10.1097/JPA.0000000000000300.
Differential diagnosis is one of the most challenging skills for a new clinician to learn. Typically, students are first exposed to the process of differential diagnosis in problem-based learning sessions. In general, techniques and tools to use in performing this important task are not universally or consistently taught, so successful clinicians learn this process largely from observing other more experienced clinicians. This article presents effective techniques and assignments that can be used to teach the process of differential diagnosis, enabling novice clinicians to become more accurate and proficient diagnosticians earlier on. Rubrics for evaluation and the theory behind these techniques are also provided.
鉴别诊断对于新手临床医生来说是最具挑战性的技能之一。通常,学生在基于问题的学习课程中首次接触鉴别诊断过程。一般来说,用于执行这一重要任务的技术和工具并没有被普遍或一致地教授,因此成功的临床医生主要通过观察其他更有经验的临床医生来学习这一过程。本文介绍了可用于教授鉴别诊断过程的有效技术和作业,使新手临床医生能够更早地成为更准确和熟练的诊断医生。还提供了评估的评分标准和这些技术背后的理论。