BSHS Selectives 2021-2022
Selectives Type:  Basic Science

Selective Title
Mystery Diagnosis and Case Discussion: Internal Medicine
Course Number
MEDU 4068
Prerequisites: Successful completion of all Year 3 requirements.
Responsible Faculty Director:
Bernard Karnath MD
Other Faculty:
Contact Information
Bernard Karnath MD 4.170 Old John Sealy
Periods Offered
4 and 7
excluding holiday periods 9 & 10
Maximum Enrollment

Learning Objectives
• Students should have a comprehensive understanding of the diseases discussed. • Students should be able to make a formal PowerPoint presentation to their peers. • Students should be able to summarize their presentation in a concise
evidenced-based narrative.
• The basic science aspect of each clinical case should be emphasized in the
write up with appropriate references.
• Students should be able to summarize their presentation in a concise narrative.
• Students should learn how to work together in peer-based learning.

Describe the qualifications background and career goals or interests of students who would benefit from the course:
Any student interested in the academic practice of Internal Medicine
Topics Covered: Pulmonary, Rheumatology, Endocrine, and Gastrointestinal.

Description of course activities
Assignments of presentations will be made on the first day of the course. A total of 32 cases from the archives of Mystery Diagnosis will be viewed during the course. Each episode is approximately 15 minutes. Each student will be responsible for giving a formal PowerPoint presentation based on their assigned case. Each PowerPoint presentation will consist of approximately 10 to 12 slides. Presentations will take place by Zoom. Each presentation will last 15 minutes with a 5-minute discussion to follow. Copies of an evidence-based case report or review article relevant to the case discussed should be brought to the presentation session.

Proposed time requirement (%) for the student activities per 40-hour week:
Activity Percent of Activity
Faculty contact time


Self-directed study


Data collection/analysis



Method of student evaluation

Check all that apply - complete appropriate section(s) only:
1.  Grading
A. Please specify your grading criteria for outstanding performance:
  Students must attend weekly presentation sessions by Zoom. Presentation days may vary by block. Assignments for each weekly session will be given out on the first Monday at 9:00 AM orientation by Zoom. Each presentation must be deemed satisfactory by the facilitator.

2.  Written Assignment (Homework, projects, notes, papers, abstracts, etc.)
A. Frequency of written assignment(s)
  A written presentation should be turned in at the end of the rotation. The final written product should be at least 10 pages in length, not including references or figures. References listed on the last page.
B. Type and format of written assignment
  The written presentation should be evidenced-based with citations. The basic science aspect of each clinical case should be emphasized.
C. Method of content selection (student-selected, assigned, relate to cases, etc.)
  The format should be as follows: The format should be as follows: Case summary (based on video vignette); Usual presentation (symptoms, manifestations, and clinical signs); Why was the diagnosis missed? (e.g. unusual presentation, lack of proper testing, lack of basic science knowledge) Laboratory evaluation (blood work and imaging); Treatment (e.g. medication and surgery); Background (historical perspective and epidemiology); Conclusion (summarize major points, what did you learn?)

3.  Oral Presentation
  A. Frequency / duration of presentation(s)?
    Each student will give one formal PowerPoint presentation.
  B. Type and format of presentation
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Student-selected topic   Assigned topic

4.  Professionalism
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?

The instructor will discuss principles of appropriate attribution and the referencing of literature with the student. The student is expected to understand and to adhere to the principle that all presented work must be solely the student’s own.

    Students should exhibit professional behavior during the presentations.

5.  Other Modes of Evaluation
  Please explain below.