This Virtual Patients lesson is relevant for medical students and professionals working in health care. You are a urologist in a group practice. A retired patient is diagnosed with bladder cancer after microhematuria was found by chance. Tumour resection was followed by several relapses. A radical cystectomy was the next decision. A report has to be made to find arguments pro or contra the diagnosis ‘occupational disease’. Who has to write this report? A good occupational history is needed. The patient worked as track welder for the German Railway company Deutsche Bahn. Detailed work history was needed, resulting in finding exposure to creosote (coal oil) used for the impregnation of wooden planks. What is the impact of smoking? Lifelong follow-up medical examinations might be necessary after exposure. What are the regulations in regard to a compensation claim? The causality chain of Occupational Diseases recognition is presented.
The lesson contains 25 cards, which guide you through the various phases. The cards provide descriptive texts, workplace information, expert comments, questions and feedback. Often, cards present a task or question. After sending an answer, feedback is given. After passing all cards, you will get a red or green mark (enough correct answers). If you are following a regular course in Munich, a tutor can give comments. The lesson is given in English and German.
The series of medical cases for medical students and physicians-in-training for Occupational Medicine has been developed by the Institute and Clinic for Occupational, Social and Environmental Medicine at the LMU university (Munich, Germany). The cases, developed in 2006-2013, are still present-day in many countries, and useful for education. Nevertheless, cases might be not up-to-date or valid everywhere, for example regarding diagnostic procedures, risk assessment tools, therapeutic interventions, or figures like incidence rates. Differences may be caused by differences in time periods, contextual conditions, or populations. Discussion about such aspects in a group, with a colleague, or with a teacher, is an essential part of the learning experience. Often, cards present a task or question. After sending an answer, feedback is given. After passing all cards, you will get a red or green mark (enough correct answers). If you are following a regular course in Munich, a tutor can give comments.
Practical. Clicking the link below connects to the Casus website. Make an account going to ‘Register’. Use your e-mail address as LOGIN, fill in a personal password. When registration is completed, LOGIN again, select if needed the English language (see, under your name, ‘Options’, ‘Language). Go to ‘Player’, you see ‘Courses available’, select ‘Virtualpatient-Work.Net – English course’. Select this case. You can complete a case once. Changing answers after completing is not possible.