Below are the instructions for playing this DDx. case and your grading rubric: Note you will be allowed to push
the Interview Progress Button and receive
... [Show More] feedback on your history questions 10 times.
a) % required history questions you asked (30% of grade)
b) % required physical exam performed (30% of grade)
c) differential diagnoses list (15%)
d) ranking differential diagnosis list (10%)
e) laboratory tests ordered (15%)
Notice that getting the correct final diagnosis is not part of the graded case. This is because if you do well in
each of the other parts, you WILL get the correct diagnosis. The software platform is designed to help you
become proficient in the diagnostic reasoning process (all the steps prior to the final diagnosis), so you can
apply this process in the real clinic setting. Key to minimizing medical errors is the clinical consideration of a
broad differential diagnosis list and the selection of tests to either “rule in” or “rule out” these diagnoses.
**** HELPFUL HINTS ****
The Avatars and cases in the IHP case library are based on “real patients”. If the Avatar provides confusing
information, this is intentional as we often what we find real patients provide incongruent information. For
example, the Avatar may use the term “rash” for skin lesions that are not by medical definition a rash---just
like real patients. Avatars may refuse to answer questions, just like real patients. Phrasing of questions IS
important. Asking a “similar” question that is less specific may not be scored correct if it does not provide the
clarity of information needed to narrow the differential. All of these small nuances in the case design were
intentional and replicate the challenges you will face with real patients in a clinical setting. My
recommendation is to pretend this is a real clinical patient encounter and select a time so you can enjoy the
process and not feel pressured for time. Remember, you are not scored on whether you get the diagnosis
correct, but rather have you mastered the process. Mastery of the process will help you avoid making
diagnostic errors throughout your clinical career.
Detailed Instructions Below:
1. Take the patient's history. [Show Less]