Infective Endocarditis: A Multidisciplinary Interactive Team-Based Learning Exercise

Abstract

OPEN ACCESSNovember 20, 2006Infective Endocarditis: A Multidisciplinary Interactive Team-Based Learning Exercise Stuart Nelson, PhD Stuart Nelson, PhD Wright State University Boonshoft School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.330 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: This educational resource is a team-based exercise centering on a case of infective endocarditis due to viridans streptococci. These bacteria gained access to the patient's blood following trauma to the mouth and teeth inflicted by a baseball bat during a barroom brawl. The patient presents with a fever, facial bruise, heart murmur, subungual splinter hemorrhages, Roth spots, and splenomegaly. Methods: The exercise is a PowerPoint presentation organized as an unfolding case history. Presenting the slides in sequence allows the case to unfold over time. Eight multiple-choice questions are inserted at strategic points in the exercise. Medical students may answer these questions in teams or as individuals. In attempting to answer these questions, the student or teams of students should have access to reference books, a medicine textbook, and a medical dictionary. The exercise works best if it is not distributed to medical students in paper form at the beginning of class or ahead of time. Instead, the PowerPoint presentation should be projected on a screen and allowed to unfold one slide at a time. This exercise typically requires 75–90 minutes. Results: We have field-tested this exercise for 3 years (in 2003, 2004, and 2005) as part of a module in the second-year curriculum's cardiovascular course at the Wright State University Boonshoft School of Medicine. Suggestions for improvement from students and faculty have been incorporated to enhance the exercise's quality. Discussion: Use of this exercise encourages collegial interaction, peer-to-peer clarification of knowledge, and dynamic sharing to arrive at consensus choices. The slide-by-slide presentation mimics real life, and our experience has confirmed the effectiveness of this strategy. When presenting the case to students, it is important to use a title that does not reveal which disease(s) the patient has. The case is suited for use as a team-based learning application exercise in which students reach consensus and then vote as a team. Use of timers and audience response technology may enhance the administration of this resource. Educational Objectives By the end of this session, learners will be able to: Recognize the clinical signs of infective endocarditis.Describe antimicrobial agents' mechanisms of action.Identify the adverse effects of antimicrobial agents.Explain the mechanisms involved in Type I hypersensitivity.Explain a Type I allergic skin test and describe a wheal and flare reaction on the skin.Recognize various microorganisms observed in gram stains.List the most common causes of native valve endocarditis, prosthetic valve endocarditis, and endocarditis involving previously damaged heart valves.Identify risk factors that contribute to infective endocarditis. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Infective Endocarditis.ppt To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationNelson S. Infective Endocarditis: A Multidisciplinary Interactive Team-Based Learning Exercise. MedEdPORTAL. 2006;2:330. https://doi.org/10.15766/mep_2374-8265.330 Copyright & Permissions© 2006 Nelson. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivatives license.KeywordsTBLType I HypersensitivityNative ValveEndocarditisAllergic Skin TestTeam-based LearningAntimicrobial AgentsProsthetic ValveViridans StreptococciWheal and Flare Disclosures None to report. Funding/Support None to report. Loading ...