Concept Mapping Dr Galuh Suryandari, Mmeded 1

Summary

In this presentation, Dr. Galusuri Andari explains the process of creating a concept map for medical exams, specifically in the context of the Soka exam. The concept map is a teaching strategy that helps link words and concepts in a structured diagram, aiming to enhance clinical reasoning and problem-solving skills in medical students. Key points covered include the definition, purpose, and steps for constructing a concept map, including analyzing clinical scenarios, identifying main symptoms, differential diagnoses, and supporting data. The goal is to eliminate differential diagnoses and determine the correct clinical diagnosis. The session also includes practical examples for better understanding.

Takeaways

• 😀 Concept maps are a learning tool that helps organize and connect medical knowledge logically to improve clinical reasoning and problem-solving.
• 😀 A concept map in medical exams is used to clarify diagnoses, support differential diagnoses, and organize symptoms and findings into a structured format.
• 😀 The primary components of a concept map include Ground (main symptoms), Claims (differential diagnoses), Warrens (supporting evidence), Rebuntals (missing expected signs), and Baking (supporting tests or findings).
• 😀 Ground represents the primary clinical findings or symptoms, such as jaundice and vomiting in the case of a 1-month-old baby.
• 😀 Claims are differential diagnoses generated from the primary findings and involve possible conditions that could explain the symptoms.
• 😀 Warrens are supporting symptoms or clinical findings that validate or back up the claims or differential diagnoses.
• 😀 Rebuntals refer to the expected clinical findings or symptoms that are missing, which helps rule out certain diagnoses.
• 😀 Baking refers to laboratory or imaging results that provide strong evidence supporting a particular diagnosis.
• 😀 The concept map follows a top-down approach, starting with symptoms (Ground) and leading down to diagnoses (Claims) and supporting evidence (Warrens, Rebuntals, and Baking).
• 😀 The goal of creating a concept map is to exclude possible diagnoses and confirm the most likely one, facilitating clearer decision-making in medical practice.
• 😀 The process of creating a concept map for medical exams involves three main stages: creation, explanation, and Q&A session, where students justify their reasoning and defend their choices.

Q & A

What is the purpose of creating a concept map in the Soka exam?

The purpose of creating a concept map in the Soka exam is to improve clinical reasoning and problem-solving skills in medical students, especially when combined with problem-based learning (PBL) methods.

What is the definition of a concept map in the context of medical exams?

A concept map is a teaching and learning strategy that promotes meaningful learning by connecting words and concepts in a diagram that flows from top to bottom, showing relationships between concepts and helping in problem-solving or diagnosis.

What are the main components that are evaluated in a concept map during the Soka exam?

The main components evaluated in a concept map during the Soka exam are: ground (reason), claim, warrants (supporting evidence), rebuttals (challenges), and backing (additional supporting evidence).

What is meant by 'ground' or 'reason' in a concept map?

'Ground' or 'reason' refers to the primary findings or symptoms of a case or scenario, which are placed at the top of the concept map.

What role does the 'claim' play in a concept map?

The 'claim' represents a differential diagnosis, which is derived from the main symptoms (ground) and related organ systems. It suggests possible diagnoses based on the provided clinical data.

What are 'warrants' in a concept map, and how are they used?

Warrants are additional clinical signs or findings that support the differential diagnosis or claim. These signs can include specific clinical features or diagnostic test results.

What is the meaning of 'rebuttals' in the context of a concept map?

Rebuttals refer to evidence that challenges the proposed diagnosis. These could be findings or physical examinations that contradict the initial diagnosis.

What does 'backing' refer to in a concept map?

Backing refers to additional support or validation for the proposed diagnosis, which can include supplementary tests or expert opinions that affirm the diagnosis.

Can you explain the flow of creating a concept map during the Soka exam?

The process of creating a concept map begins with identifying the ground (main findings), followed by the relevant organ systems, differential diagnoses (claims), supporting evidence (warrants), challenges (rebuttals), and final confirmation (backing). The map is then explained and discussed during a Q&A session.

What is the role of 'problem-based learning' (PBL) in the use of concept maps during the Soka exam?

Problem-based learning (PBL) enhances the effectiveness of concept maps in the Soka exam by encouraging students to think critically about clinical problems, fostering deeper understanding and problem-solving skills as they create and analyze concept maps.