Monday 28 December 2015
Friday 18 December 2015
The clinicopathologic conference
The clinicopathologic conference
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“When
I was a medical student, clinicopathologic
conferences (CPC) were big events. A medical resident (called the presenter),
presents an unknown case, giving the history, physical examination, and all
relevant investigations, providing the results of those diagnostic tools. The
presenter does not interpret the data; rather he allows the discussant to
interpret those data. The discussant - a consultant faculty member of the
department - discusses the case based on the presented history, physical
findings, and diagnostic studies obtained. Differential diagnoses are put
forward and narrowed; the discussant is expected to adhere on a measured,
logical progression from a patient's presentation to a narrowed differential
diagnoses rather than focusing on a final diagnosis but in the end, he makes a
tentative diagnosis based on his discussion of the case before the final
diagnosis is revealed. At the end of the discussion, the audience participates
in a "question and answer" forum (usually 15 min). After discussion
of the case, the presenter (medical resident) discusses how the diagnosis is
confirmed and provides details regarding the case outcome. It is, therefore,
very important that the case is presented with clarity”.
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