More to be learnt from the discussion than the diagnosis

doi:10.1136/bmj.326.7399.1136

BMJ 2003;326:1136 (24 May), doi:10.1136/bmj.326.7399.1136

Commentary

More to be learnt from the discussion than the diagnosis

Ed Peile, associate director of clinical studies¹

¹ Division of Public Health and Primary Health Care, University of Oxford, Oxford OX3 7LF ed.peile@dphpc.ox.ac.uk

The first 150 words of the full text of this article appear below.

Two thirds of the 120 rapid responses to this case report camefrom outside Europe, with fairly even representation of NorthAmerica, South America, the Middle East, and India and Pakistan.¹Family doctors were in the minority, as physicians with backgroundsin internal medicine, cardiology, and emergency medicine debatedthe likelihood of different critical illnesses. It was goodto see lively contributions from junior doctors and medicalstudents too.

The responses suggested three distinct focuses of learning (box).

Focuses of learning from interactive case report

• A forumfor exchanging specialist views around a difficult decision in critical care

• Sharing communication issues from differentperspectives, enriched by a valuable patient contribution

•Reflection (along the lines of a critical event review) aroundthe role of primary care in prevention of cardiovascular disease

The value of the debate on the cause of Peter Hartl's chestpain came less from those . . . [Full text of this article]

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