Journal Club about Oral prednisone in cervical radiculopathy

Attendance/Participation Individual grade Expectation Full points (3 pt) Partial points (1 pt) No points** (0 pt) Attendance and participation Arrived on time*, stayed entire session, participated appropriately Arrived late or left early (without approval) OR was not participating fully (only partially) Did not come to class OR did not participate at all or only minimally *See syllabus for details regarding tardiness and unexcused absences **Student will receive automatic ZERO if disruptive or unprofessional; otherwise, will receive a warning if points will be deducted 2 6/13/2022 Patient Interview Expectation (Introduction) Individual grade Done (0.25 pt) Not Done (0 pt) Done (0.5 pt) Not Done (0 pt) Provide name AND role Explains reason for interaction Ensures patient is willing / able to provide history Verifies patient name AND date of birth Expectation (Overall Communication) Asked if patient had questions / concerns Spoke clearly, appropriately paced, patient-friendly language Open and closed ended questions used appropriately Made effort to build trust and rapport with patient, demonstrated concern and responsiveness 3 6/13/2022 Patient Interview Individual grade Expectation Asked about allergies (minimally medication-related) Addressed adherence and barriers Clarified each of the following for ALL prescribed medications (1 pt each): • Indication • Duration • Regimen (includes route, dose, frequency) • How taking and storing • Side effects patient is experiencing • Whether patient feels it is working OTC/herbal use (regularly and recently used); also asked why taking, regimen and how long have been taking, and whether physician recommended Immunization status Summarized details (should minimally repeat back all medications with regimens and any concerns patient has (i.e. forgetting doses, feels not working, etc) 4 Done (1 pt) Not Done (0 pt) 6/13/2022 iSBAR Individual grade Expectation (Introduction) Done (0.25 pt) Not Done (0 pt) Done (0.5 pt) Not Done (0 pt) Done (0.5 pt) Not Done (0 pt) Asked for provider Provide name AND role Stated where calling from Situation Provided patient’s name AND date of birth Provided details about patient’s location at the time the order was written Provide a general statement of the problem (i.e. calling about a drug allergy, others) Background Gave details about problem (o.5 pt each): • Medication of concern • Patient-specific problem with medication (i.e. allergy, others) Provide relevant details pertaining to medication (i.e. why ordered, others) 5 6/13/2022 iSBAR Individual grade Assessment Done (0.5 pt) Not Done (0 pt) Done (0.5 pt) Not Done (0 pt) Done (0.25 pt) Not Done (0 pt) Provide overall detailed problem (i.e. patient has an allergy to prescribed medication) Provide general recommendation (i.e. need to change to a different antibiotic) Provide rationale and anything that should NOT be ordered (i.e. per IDSA guidelines and our formulary, I recommend…) Recommendation Provide recommendation (must include dose, route, frequency, duration if indicated) Expectation (Overall Communication) iSBAR order was correct Thanked provider Spoke clearly, confidently, convincingly (and respectfully) Appeared organized and logical Repeated back provider’s response 6 6/13/2022 SOAP Note Individual grade Section Weight (%) Subjective 10 Objective (Medications) 10 Objective 5 Assessment – Prioritization 5 Assessment and Plan (Acute Problem) 25 Assessment and Plan (Subacute Problem(s)) 35* Assessment and Plan (Controlled Problem(s)) 10* Bonus 2 *Divided up amongst problems; if no subacute or controlled problem in case, will readjust the points and add more points to the other problem(s) 7 6/13/2022 Inpatient Counseling Individual grade Expectation (Introduction) Done (0.5 pt) Not Done (0 pt) Done (0.5 pt) Not Done (0 pt) Provide name AND role Explains reason for interaction Ensures patient is willing / able to receive counseling (i.e. is this a good time?) Verifies patient name AND date of birth Expectation (Overall Communication) Asked if patient had questions / concerns Spoke clearly, appropriately paced, patient-friendly language in logical order Prime questions utilized properly Conducted teach back (minimally what EACH drug is for and side effects) 0.5 pt each Made effort to build trust and rapport, demonstrated concern and responsiveness Only accurate information was provided 8 6/13/2022 Inpatient Counseling Individual grade Expectation (repeated for each medication) Why medication was ordered How medication will be given How the patient will know it is working (i.e. blood work, improved symptoms, others) Described possible side effects (should only provide short-term use side effects at this time) 9 Done (1 pt) Not Done (0 pt) 6/13/2022 Discharge Counseling Individual grade Expectation (Introduction) Done (0.5 pt) Not Done (0 pt) Done (0.5 pt) Not Done (0 pt) Provide name AND role Explains reason for interaction Ensures patient is willing / able to receive counseling (i.e. is this a good time?) Verifies patient name AND date of birth Expectation (Overall Communication) Asked if patient had questions / concerns Spoke clearly, appropriately paced, patient-friendly language in logical order Prime questions utilized properly Conducted teach back (minimally what each NEW drug is for and side effects) 0.5 pt each Made effort to build trust and rapport, demonstrated concern and responsiveness Only accurate information was provided 10 6/13/2022 Discharge Counseling Drug Information Group grade Done (1 pt) Not Done (0 pt) Done (0.5 pt) Not Done (0 pt) Indication (each new or modified drug; points vary) Administration and storage (each new or modified drug; points vary) When/how to know if it works (each new / modified drug; points vary) Side effects / safety monitoring (each new / modified drug; points vary) Instruct to continue unchanged and/or stop discontinued home meds (points vary) Additional Utilize written discharge instructions during session (will not get point for just mentioning at the end) Clearly state which meds to start / stop / continue / change Provide instructions on how to obtain new medications Provide at least one aspect of care plan 11 6/13/2022 Case Slides 12 Group grade Section Weight (%) Subjective 15 Objective (Medications) 15 Objective 10 Assessment – Prioritization 5 Initial Assessment and Plan 10 Hospital Course 20 Disease State Discussion 10 Critique 15 6/13/2022 Case Presentations and Verbal Defense Expectation (Presentation Skills) Individual grade Meets / Exceeds (0.5 pt) Somewhat Did Not Meets Meet (2.5 pt) (0 pt) Meets / Exceeds (3 pt) Somewhat Did Not Meets Meet (1 pt) (0 pt) Introduced self AND role Spoke clearly, confidently Maintained eye contact Conducted self in a professional manner Expectation (Verbal Defense) Without prompt, able to answer all questions appropriate with adequate justification 13 6/13/2022 Journal Club Presentations and Q&A Expectation (Presentation Skills) Individual grade Meets / Exceeds (0.5 pt) Somewhat Did Not Meets Meet (2.5 pt) (0 pt) Meets / Exceeds (3 pt) Somewhat Did Not Meets Meet (1 pt) (0 pt) Introduced self AND role Spoke clearly, confidently Maintained eye contact Conducted self in a professional manner Expectation (Q&A) Was able to contribute to Q&A session 14 6/13/2022 Group grade Journal Club Content Expectation Complete Partial Incomplete Background: Should explain enough background about the patient/population, the intervention, the comparator (standard of care) and the rationale for the study (what outcomes they wanted to look at and why) 3 points 1.5 points 0 points Methods (study design/endpoints): This includes the type of study, inclusion and exclusion criteria, comparator groups, primary endpoints, secondary endpoints, and safety endpoints 3 points 1.5 points 0 points 1 points 0 points Methods (statistics): This includes whether it was an ITT/modified ITT or other type of analysis (or combined), what statistical tests were 2 points used, alpha, p-value, beta, and sample size calculation (power) 15 6/13/2022 Group grade Journal Club Content Expectation 16 Complete Partial Incomplete Results: Provide pertinent baseline demographics, results (with pvalues if indicated) for all primary endpoints, and risk ratios and 4 points NNT/NNH (if applicable) for all primary endpoints (NNT/NNH should not be calculated for time to event such as Kaplan Meier curves) 2 points 0 points Conclusion / Discussion: Provide author’s conclusion as well as own critique. Provide strengths and weaknesses. 1.5 points 0 points 3 points Journal Club Worksheet BACKGROUND Article reference (AMA) Background Patient/Population (what type of patient/pop) Intervention (what they want to test) Comparator (could be placebo) Outcome(s) (just list primary endpt) (Provide general info to explain why they did this study (the rationale), including prior data, need, etc) METHODS – Study Design Type of study Inclusion / exclusion criteria If extensive list (or it is only in supplement publication), make sure to select out those you care most about Comparator groups ***Do not include results in your methods… this just describes HOW they designed the trial*** INCLUSION EXCLUSION Journal Club Worksheet METHODS – Study Design Primary endpoints ***Do not include results in your methods… this just describes HOW they designed the trial*** Secondary endpoints Safety endpoints If different from primary METHODS – Statistics ITT/mITT/per protocol Which did they use to analyze? If mITT, provide description (do not include actual numbers here) Statistical tests Alpha/p-value Sample size/beta This is what they WANTED in a sample size (not actual numbers yet) ***Do not include results in your methods… this just describes HOW they designed the trial*** Journal Club Worksheet RESULTS Baseline demographics (including N for each comparator group) Provide only pertinent info Findings for primary and safety endpoints include significance if able; if no safety, leave out PRIMARY SAFETY Risk ratios and NNT/NNH for primary and safety endpoint(s) Cannot calculate for time-toevent; use judgement when interpreting CONCLUSION/DISCUSSION Author’s Conclusion PRIMARY SAFETY Student’s Critique: Strengths Student’s Critique: Weaknesses Overall Student’s Conclusion and Discussion -Background: Should explain enough background about the patient/population, the intervention, the comparator (standard of care) and the rationale for the study (what outcomes they wanted to look at and why) – Methods related to study design and endpoints: This includes the type of study, inclusion and exclusion criteria, comparator groups, primary endpoints, secondary endpoints, and safety endpoints – Methods related to statistics: This includes whether it was an ITT/modified ITT or other type of analysis (or combined), what statistical tests were used, alpha, p-value, beta, and sample size calculation (power). – Results: Provide pertinent baseline demographics, results (with p-values if indicated) for all primary endpoints, and risk ratios and NNT/NNH (if applicable) for all primary endpoints (NNT/NNH should not be calculated for time to event such as Kaplan Meier curves) – Conclusion / Discussion: Provide author’s conclusion as well as own critique. Provide strengths and weaknesses. Group grade Journal Club Content Expectation Complete Partial Incomplete Background: Should explain enough background about the patient/population, the intervention, the comparator (standard of care) and the rationale for the study (what outcomes they wanted to look at and why) 3 points 1.5 points 0 points Methods (study design/endpoints): This includes the type of study, inclusion and exclusion criteria, comparator groups, primary endpoints, secondary endpoints, and safety endpoints 3 points 1.5 points 0 points 1 points 0 points Methods (statistics): This includes whether it was an ITT/modified ITT or other type of analysis (or combined), what statistical tests were 2 points used, alpha, p-value, beta, and sample size calculation (power) Group grade Journal Club Content Expectation Complete Partial Incomplete Results: Provide pertinent baseline demographics, results (with pvalues if indicated) for all primary endpoints, and risk ratios and 4 points NNT/NNH (if applicable) for all primary endpoints (NNT/NNH should not be calculated for time to event such as Kaplan Meier curves) 2 points 0 points Conclusion / Discussion: Provide author’s conclusion as well as own critique. Provide strengths and weaknesses. 1.5 points 0 points 3 points