Assessment of patient-information-communicator’s Online-learning portfolio for Dr Madhavi Rawat, March 2016

Experience:

Patients are interviewed by the learner and s/he also creates their HIPAA de-identified online-health-records that may contain their history and clinical images other than their investigations

Patient experiences recorded online here https://www.blogger.com/profile/14713506954507734603 by Dr Madhavi:

Reflection-

Here the learner is concerned with how things happen by attempting to see them from different perspectives and relying on one’s thoughts, feelings and judgement. (Reference 1)

Case 1:

http://udhc137.blogspot.in/2016/03/a60-year-old-woman-suffering-from.html?m=1

Madhavi Rawat Sir is pt ka diagnosis kya bol sakte he?

Like · Reply · 22 hrs

Rakesh Biswas Dyspepsia (reflux predominant) with IBS (constipation predominant) Madhavi ab iska standard treatment kya hoga yeh share karo links ke saath.

Case 2:

Experience related by Dr Arti: Sir ek pt. H unki eyes me kuc. Lg gya tha baik chlate time bahut red ho gi h mene dekha to kun ni h....or kafi jalan ho rhi h...ap koi drop bta dijiye

Madhavi Rawat Sir we can use rosewater for this case

Like · Reply · 11 hrs

Rakesh Biswas Rosewater wala trial ka search aaap karke batao upar diye gaye results ke anusar

Conceptualization-

Here learning is achieved by rigorous thinking (reflecting), using a systematic approach to structure and frame the phenomena being experienced. Emphasis is placed on the definition and classification of abstract ideas and concepts, aiming at precise conceptual categories. (Reference 1)

http://udhc137.blogspot.in/2016/03/a60-year-old-woman-suffering-from.html?m=1

Madhavi Rawat Common causes of dyspepsia include:

Burped-up stomach juices and gas (regurgitation or reflux) caused by gastroesophageal reflux disease (GERD) or a hiatal hernia.
A disorder that affects movement of food through the intestines, such as irritable bowel syndrome.
Peptic (stomach) ulcer or duodenal ulcer.
An inability to digest milk and dairy products (lactose intolerance).
Gallbladder pain (biliary colic) or inflammation (cholecystitis).
Anxiety or depression.
Side effects of caffeine, alcohol, or medicines. Examples of medicines that may cause dyspepsia are aspirin and similar drugs, antibiotics, steroids, digoxin, and theophylline.
Swallowed air.
Stomach cancer.

Like · Reply · Yesterday at 8:54am

Madhavi Rawat Sir patient he 25min pahle dlia khaya he...

Unlike · Reply · 1 · Yesterday at 9:04am

Rakesh Biswas Madhavi yeh dyspepsia ke causes kahan se mile aur aap ko kaise pata ki yeh vaakai dyspepsia ke causes hain?

Case 2:

Madhavi can you answer by critical appraising the information you shared in your link: these questions: Does the information in your study address a clearly focused question?
Did the study use valid methods to address this question?
Are the valid results of this study important?
Are these valid, important results applicable to my patient or population? I took one look at the information that you shared and felt it didn't.

Madhavi Rawat Yes sir this link is not help us to a perfect answer of this case,
We can use only in normally eye problems,

Like · Reply · 11 hrs

Rakesh Biswas Madhavi what do you mean by "use only in normally eye problems."

Like · Reply · 11 hrs

Madhavi Rawat Means dust allergies, eye makeup harmful effects, & sun light burning in summer.....

Like · Reply · 11 hrs

Rakesh Biswas Why would you call dust allergies as a normal eye problem? Every problem needs to be addressed perfectly.

Like · Reply · 11 hrs

Rakesh Biswas Why would you use rose water if it is not better than ordinary water (which brings us back to the beginning of this comment thread as i had suggested ordinary water for eye-burning). smile emoticon

Like · Reply · 11 hrs

Madhavi Rawat Bcoz if we suffered with normal dust allergy to driving,and when we discontact with dust its subside after some time automatically..

Like · Reply · 11 hrs

Rakesh Biswas To discontact (that's a nice neologism) with dust we may not need rose-water (ordinary water may suffice) Madhavi?

Like · Reply · 11 hrs

Madhavi Rawat Means rosewater is not useful

Action-

The learner attempts to influence people and change situations as necessary. (Reference 1)

Cognitive/Intellectual Action

Taking patient histories (in patient’s voice) and taking clinical images and recording them in blogs

Information available for Dr Madhavi in the entire profile of online-records created here:  https://www.blogger.com/profile/14713506954507734603

Using structured templates to record patient findings such as Mini-mental scores, depression scores, quality of life scores etc

NIL

Making an optimal assessment and plan for the patient

Available for Dr Madhavi in the entire profile of online-records created here:  https://www.blogger.com/profile/14713506954507734603

Writing an order for pharmacological therapy (only for those with a licence)

Physical/Motor Action:

Assisting in data collection not only directly from the patient’s bedside but also from the patient’s radiology, labs and procedures and documenting it with images

Performing physiotherapy (only for those with a licence)

Information available for Dr Madhavi in the entire profile of online-records created here:  https://www.blogger.com/profile/14713506954507734603

Learning points-

These can be either based on the case or the number of learning points gained by the learner during the entire week.

Dyspepsia reflux

IBS constipation

Ovarian mass

Critical appraisal

Reference:

1)    Kohonen,V. 2009 Learning to learn through reflection – an experiential learning perspective. Full text downloaded on March 28^th 2016 from http://archive.ecml.at/mtp2/Elp_tt/Results/DM_layout/00_10/05/Supplementary%20text%20E.pdf

Further reading:

Methodological differences that our 'constructivist' program has with traditional programs here in this link:http://images.slideplayer.com/10/2754034/slides/slide_20.jpg

Portfolios: Learning and Assessment in Medical Education Catherine Moltzan MD FRCPC: downloaded on March 28^th 2016 from https://umanitoba.ca/faculties/health_sciences/medicine/education/pgme/media/Portfolio_Presentation_copy.pdf

Images of Portfolio Based learning:

http://image.slidesharecdn.com/dublin2016-balancing-160323110905/95/dublin2016-balancing-2-638.jpg?cb=1458731715,

http://image.slidesharecdn.com/dublin2016-balancing-160323110905/95/dublin2016-balancing-24-638.jpg?cb=1458731715

Sample ‘patient-information-communicator’ weekly-learning-portfolios recorded here:

http://userdrivenhealthcare.blogspot.in/2016/03/assessment-of-patient-information_28.html

http://userdrivenhealthcare.blogspot.in/2016/03/experience-patients-are-interviewed-by.html

http://userdrivenhealthcare.blogspot.in/2016/03/assessment-of-patient-information.html

http://userdrivenhealthcare.blogspot.in/2016/03/assessment-of-patient-information_87.html

Sample UDHC Case-study: http://userdrivenhealthcare.blogspot.in/2016/03/udhc-case-study-from-online-patient.html

Check-list for patient-safety near miss reporting (toward quality improvement): 

http://www.jabfm.org/content/28/4/452/F1.large.jpg

http://www.jabfm.org/content/28/4/452.full