A library-led introductory informatics theme has been part of the Albany Medical College undergraduate medical school curriculum as a concurrent theme since 1993. Initially, classes were limited to large group sessions focusing on general searching skills. Over the past several years, course content has been expanded and increasingly integrated into other themes and clerkships. Web-based self-paced tutorials have replaced many classroom sessions, and Web 2.0 technologies have been introduced. Collaborations with clinical and basic science faculty in other themes supplement and strengthen the theme.
Implementing a comprehensive medical knowledge curriculum using TBL in an internal medicine residency was feasible, and resulted in high faculty acceptance and learner satisfaction. Departmental support of a TBL champion, flexible faculty development, and well-designed resource materials were determinants of success.
We report a case of granulomatosis with polyangiitis (GPA) in a
pediatric patient with a history of type 1 diabetes mellitus (T1DM)
after a somewhat unusual presentation. Antineutrophil cytoplasmic
antibody (ANCA)-associated vasculitides are a relatively rare entity in
the general population, and are even less common amongst the pediatric
population. Our patient’s chronic history of vague and systemic symptoms
paired with social and environmental stressors contributed to her
convoluted picture and late diagnosis. In addition, her T1DM adds an
interesting element to her case, begging the question of whether her
propensity for autoimmune conditions played a role in the development of
this disease. With this case, we hope to increase clinician level of
suspicion and promote early diagnosis and treatment for future pediatric
patients.
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