Case Studies: "Reasoning without Resources"
Welcome to CUGH’s monthly clinical case-series, “Reasoning without Resources,” by Prof. Gerald Paccione of the Albert Einstein College of Medicine. These teaching cases are based on Prof. Paccione’s decades of teaching experience on the medical wards of Kisoro District Hospital in Uganda. They are designed for those practicing in low resource settings, Medicine and Family Medicine residents, and senior medical students interested in clinical global health. Each case is presented in two parts. First comes a case vignette (presenting symptoms, history, basic lab and physical exam findings) along with 6-10 discussion questions that direct clinical reasoning and/or highlight diagnostic issues. One month later CUGH will post detailed instructors notes for the case along with a new case vignette/questions. For a more detailed overview to this case-series and the teaching philosophy behind it, see Introduction to “Reasoning without Resources”. Comments or question may be sent to Prof. Paccione at: firstname.lastname@example.org
N.B. The first part of this series (Cases 1 – 55) ran for a number of years, and 20 of these Cases are still on the website. Others, used in global health courses, have been removed because provision of the instructor notes on the internet interfered with the group problem-solving methods of the course. The second part begins now, thus the numbering of the Cases starts with #56-67. All cases in the series (over 100) will be available in book form (supported by CUGH) in 2020, “Reasoning without Resources.”
About the Author:
Dr. Gerald Paccione is a Professor of Clinical Medicine at the Albert Einstein College of Medicine in the Bronx, New York. His career has centered on medical education for the past 40 years – as a past residency Program Director in Primary Care and Social Internal Medicine at Montefiore Hospital, and global health educational consultant/advisor at the school. He has served on the Boards of Directors of Doctors for Global Health, Doctors of the World USA, and the Global Health Education Consortium. Dr. Paccione spends about 3-4 months a year in Uganda working on the Medicine wards of Kisoro District Hospital where he draws examples for the case studies.
Gerald Paccione, MD Professor of Clinical Medicine Albert Einstein College of Medicine 110 East 210 St., Bronx, NY 10467
Tel: 718-920- 6409