Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students.

OBJECTIVES: Explicit education on diagnostic reasoning is underrepresented relative to the burden of diagnostic errors. Medical educators report curricular time is a major barrier to implementing new curricula. The authors propose using concise student-identified educational opportunities -- differential diagnosis and summary statement writing -- to justify curriculum development in diagnostic reasoning. METHODS: Eighteen clerkship and 235 preclinical medical students participated in a 1 h computerized case presentation and facilitated discussion. Students were surveyed on their attitudes toward the case. RESULTS: All 18 (100% response) clerkship students and 121 of the 235 preclinical students completed the survey. Students felt the module was effective and relevant. They proposed medical schools consider longitudinal computerized case presentations as an educational strategy. CONCLUSIONS: A computerized case presentation is a concise instructional strategy to teach critical points in diagnosis to clerkship and preclinical medical students.

Measuring Tree Properties and Responses Using Low-Cost Accelerometers.

Trees play a crucial role in the water, carbon and nitrogen cycle on local, regional and global scales. Understanding the exchange of momentum, heat, water, and CO 2 between trees and the atmosphere is important to assess the impact of drought, deforestation and climate change. Unfortunately, ground measurements of tree properties such as mass and canopy interception of precipitation are often expensive or difficult due to challenging environments. This paper aims to demonstrate the concept of using robust and affordable accelerometers to measure tree properties and responses. Tree sway is dependent on mass, canopy structure, drag coefficient, and wind forcing. By measuring tree acceleration, we can relate the tree motion to external forcing (e.g., wind, precipitation and related canopy interception) and tree physical properties (e.g., mass, elasticity). Using five months of acceleration data of 19 trees in the Brazilian Amazon, we show that the frequency spectrum of tree sway is related to mass, canopy interception of precipitation, and canopy-atmosphere turbulent exchange.

A novel treatment tool to address soft tissue dysfunction.

These authors describe how they use thermoplastic materials to augment home exercise programs for clients with chronic and post-surgical soft tissue dysfunction. They discuss how after thorough education is provided, this alternative tool may be given for patient use. -Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor.