SNAPPS is a learner-centered approach to case presentation in the clinical setting.

by | Jul 12, 2021 | Uncategorized | 0 comments

Purpose
SNAPPS is a learner-centered approach to case presentation in the clinical setting. This model allows the student to take an active role in their educational encounter by discussing the patient encounter beyond the facts, verbalizing their clinical reasoning, asking questions, and engaging in follow-up learning pertinent to the educational encounter. This exercise is designed to develop the student’s ability to organize patient information in a meaningful way and guide the student in their oral patient presentations in the clinical setting.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
Summarize patient findings into an organized oral presentation. (WO2.3) (CO 5)
Identify their own knowledge gaps and inquire about uncertainties, difficulties, or alternative approaches to diagnosis & treatment of a patient. (WO2.3) (CO 5)
Requirements:
Using a patient seen in their clinical setting, students will give an oral presentation (via Kaltura) using the 6-step learner-centered SNAPPS model to mimic a real-life presentation to the preceptor by:
Briefly summarizing the relative history and findings;
Narrowing the differential to three relevant possibilities using the pertinent positive and negative findings;
Analyzing the differential by comparing and contrasting the possibilities;
Probing the preceptor by asking questions about uncertainties, difficulties, or alternative approaches;
Identifying a treatment plan for the patient; and
Select a case-related issue for self-directed learning
In addition to the oral presentation, the student will submit the written findings of their research for the case-related, self-directed learning topic that was identified in the presentation.
The written portion of this assignment will be submitted on the “SNAPPS Template for Written Assignment” using appropriate evidence-based, scholarly references and using appropriate APA reference and in-text citations.
The oral presentation must be submitted to the Week 2 discussion board before Sunday, 11:59 p.m. MT. The written portion of the assignment must be submitted on the template provided to the assignment box before Sunday, 11:59 p.m. MT. If any of the required items are missing or are submitted after the deadline, late penalties will be applied according to the Late Assignment Policy as discussion in the Syllabus.
Preparing the presentation and paper
The oral presentation part of this assignment should be prepared using the following guidelines:
Students will present a patient seen in their clinical setting for a single, problem-focused (acute) visit.
The oral presentation will be recorded and should mimic a presentation that would be given to the preceptor.
The oral presentation must be recorded in Kaltura (slides are not required).
The presentation should be 5-7min.
The presentation should be shared with the class for viewing by posting a link in the Week 2 discussion board BEFORE Sunday 11:59pm MT.
To help organize your data in preparation for the presentation, it is recommended that students use the “SNAPPS TEMPLATE FOR ORAL PRESENTATION”. This document is only a guide and is not required. It should NOT be submitted to the discussion board or assignment box.
Students should refer to the SNAPPS videos in the Week 2 lesson as an example of the oral presentation.
As part of the patient presentation, the student must provide the following:
Chief complaint with pertinent HPI, ROS and PE findings
Identification of the differential
An analysis of the differential with arguments for or against each diagnosis ranked in order from most likely to least likely
Probing questions that were asked of the preceptor or areas of uncertainties
Novice level plan management (diagnosis, medication, education and follow-up instructions)
The student states the self-directed learning topic that they will investigate further. (NOTE: A self-directed learning topic is something that you want to know more about that relates to the condition, but is not the condition itself).
The written portion of this assignment should be prepared using the following guidelines:
The student’s findings of the self-directed learning topic must be completed on the “SNAPPS WRITTEN ASSIGNMENT TEMPLATE”
The report should be between 5-7 paragraphs in length, discussing something learned from the student’s research about the self-directed learning topic.
Correct grammar, punctuation, and spelling should be observed.
In-text citations and reference page should be written in APA format and scholarly evidence-based medicine (EBM) references must be used.
The written report must be submitted to the Week 2 assignment box before Sunday 11:59pm MT.
Summarize:A brief and concise oral summary is presented from the pertinent facts.
Narrow the Differential Diagnosis :Three (3) diagnoses are given in the differential.
Analyze the Differential: Differential is analyzed using key positive and negative findings to argue for and against hypothes e s and the diagnoses are ranked in order from high to low likelihood.
Probe the Preceptor: Gaps, points of confusion or dilemmas are identified in relation to the problem by identifying 3 appropriate questions for the preceptor.
Plan Management: An appropriate, novice level diagnostic and therapeutic plan to manage the problem is identified and consideration to cost, availability or patient preference is addressed .
Self-Directed Learning: One issue for self-directed learning as it relates to the case study is identified in the oral presentation and the student provides written research on the self-directed learning topic .
The oral presentation is within 5-7 minutes in length and research of the self-directed learning topic is written submitted on the SNAPPS WRITTEN TEMPLATE, using appropriate scholarly references , in APA format.
Assignment Content Possible Points = 90 Points
Summarize the H&P in a brief and concise manner.
The summary includes:
1) Chief complaint;
2) History of present illness;
3) Subjective and objective findings relevant to the case;
4) The summary is brief and concise without additional unnecessary data
(4 critical elements)
Narrow the differential diagnoses.
1) The student identifies 3 reasonable diagnoses as part of the differential
2) All diagnoses are relevant to the chief complaint
Analyze the differential.
1) The student uses substantial key positive and negative findings to argue for or against a diagnosis
2) The diagnoses are ranked in order from most to least likely in the oral presentation
Probe the preceptor/instructor with self-identified knowledge gaps, points of confusion or dilemmas in the oral presentation.
1) Student verbalizes 3 questions that were addressed to preceptor regarding knowledge gaps, points of confusion or dilemmas
2) All questions are directly relevant to the case study
At a novice level, the student proposes an appropriate management Plan in the oral presentation.
At a novice level, the student proposes an appropriate management Plan in the oral presentation.
The plan addresses:
1) How the student confirmed or established the diagnosis;
2) Medication(s) chosen (OTC or RX) with dosages and frequencies;
3) Patient education given;
4) Follow-up instructions;
5) Consideration to cost, availability, or patient preferences are mentioned in regards to treatment considerations
(5 critical elements)
OutcomeIdentify a self-directed learning topic.
1) Student verbalizes at least one issue for self-directed learning in the oral presentation;
2) Student provides written research on the self-directed learning topic;
3) The research provided is fully supported by at least 3 appropriate, EBM, scholarly references
(3 critical elements)
Assignment Format Possible Points = 10 Points
1) The student’s oral presentation is a minimum of five (5) but no more than seven (7) minutes in length
2) The written research of the self-directed learning topic is five (5) to seven (7) paragraphs in length
3) The research is submitted on the SNAPPS written template
PLUS
All in-text citations and references are written in correct APA format
(3+ critical elements)

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