GUIDELINES FOR DISCUSSING THE CPC
- Begin with a succinct summary of the salient features of the case.
Eliminate this step in your oral presentation if prior speakers have
covered this well.
- Demonstrate your clinical reasoning by a scholarly differential
diagnosis, following the format of the New England Journal of Medicine
clinicopathologic conferences. As part of your discussion, you might
consider both common and rare disorders that could produce the manifestations
found in the protocol.
- As part of your discussion, highlight mechanisms of disease and
pathogenesis, including basic science aspects of the relevant disorders.
- Note how the natural history of the disease you selected explains
all the manifestations in the protocol.
- If there are unexplained manifestations, account for them with
other reasonable explanations or as “red herrings.”
- Cite appropriate medical literature whenever possible.
- Identify the diagnostic procedure that you recommend be done to
confirm your diagnosis.
- Describe the pathological findings you expect to be found.
- This is a teaching and learning exercise in which demonstrating
your sophisticated, medically-logical thinking is much more important
than the accuracy of your conclusion.