Low back pain is one of the most common presentations in the Family Practice. In many patients, the low back pain is self-limiting. If there are no red flags, the patient can initially be treated with simple pain killers. However, of the patients seeking medical attention, many are unnecessarily being sent for further investigations, which contributes to high health care costs.This case "John's back again" was developed for students to learn tips on diagnosing and managing low back pain, including exploring red flags symptoms. In addition, this case will give them an idea on how quickly health care costs can rise by ordering unnecessary tests. Furthermore, it shows them how Electronic Medical Records (EMRs) and network systems operate and how they can be helpful and time-saving in daily practice.For the authors, this case gives them an opportunity to see how feedback and instructions influence the student's choices in physical exam and management plan during John's second visit to their office.Students can get direct feedback during the case and get an overall summary on their performance at the end of the case.
Participant in the CHEC-CESC Virtual Patient Challenge 2012-2013.
This Virtual Patient Case was submitted as part of the CHEC-CESC Virtual Patient Challenge 2012 as part of the AFMC-Infoway Physician in Training e-Health Curriculum and e-Learning initiative.
The focus of the challenge is on virtual patients that incorporate the use of electronic health records (EHRs) and other aspects of e-health to improve patient care. Below you will find the submission requirements including e-Health topics that must be incorporated in the case design, and the pedagogical and instructional case design criteria.