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Teaching Scripts

Welcome to the Teaching Scripts Homepage!

Teaching scripts are a valuable tool that can be used by the busy academic hospitalist to "seize the teaching moment" through delivery of learner-centered, organized, timely, and effective teaching during rounds.
The Teaching Scripts’ framework trains educators to react to a teaching “trigger” – an area identified as a knowledge gap - by highlighting specific, high-yield, evidence-based teaching points and selecting teaching strategies to incorporate into a brief script.
By having scripts created in advance, clinical teachers will have a repository of literature and creative tools to teach on common clinical issues whenever teaching opportunities arise.

Here you will find a collection of teaching scripts developed by hospitalists and hospitalist fellows. We have also included a blank template for anyone interested in creating their own teaching script.

Please complete a short 2-minute survey at the end of the teaching script so we can better understand the knowledge, skills, and attitude around teaching scripts and how people plan to use these scripts.

If you have any questions or would like to submit a teaching script using the premade template, please email Lindsay Weiss at Lmweiss1@gmail.com or Barrett Fromme at hfromme@peds.bsd.uchicago.edu.

Thank you!
Lindsay Weiss, MD, Nehal Thakkar, MD, MBA,  Cory Henson, MD,  Sunita Hemani, MD,  Courtney Charvat, MD,   Barrett Fromme, MD, MHPE

Teaching Scripts

***teaching_script_template_.docx Blank Template
***Examples of Educational Strategies for Teaching


Cardiology
  • IVIG Resistance in Kawasaki disease
  • Measuring QTc Prolongation
  • Newborn Heart Murmurs
 
GI
  • Early Initiation of Enteral Feeding in Acute Pancreatitis
  • Electrolyte Testing in Dehydration
  • Failure to Thrive: Differential Diagnoses
  • GERD
  • Rebound levels in neonatal hyperbilirubinemia
  • Utility of Abominal Xray for Functional Constipation

Infectious Disease
  • Acute Osteomyelitis – Early transition from IV to PO antibiotics
  • Bagged vs. Catheterized Urine Sample
  • Blood cultures in Pneumonia
  • CSF analysis in infants and children suspected of having bacterial meningitis
  • Evaluation of CSF pleocytosis in traumatic lumbar punctures
  • Fever of Unknown Origin: approach to differential diagnosis
  • Fever of Unknown Origin: approach to evaluation
  • Interpreting Urinalysis Results
  • Lumbar punctures in infants 29-60 days with suspected/confirmed UTI
  • Narrow vs. Broad Spectrum Antibiotics for Community Acquired Pneumonia (CAP)
  • Sepsis Management Bundle
  • Sepsis Recognition
  • Time to detection of Bacterial Cultures in Febrile Infants
  • UTI with bacteremia
  • Who needs imaging in a UTI
Nephrology
  • Maintenance IV fluids
  • Proteinuria Measurement
Neurology
  • Febrile seizures evaluation and management​
  • Preventing delirium in hospitalized pediatric patients
Respiratory
  • Albuterol use in bronchiolitis
  • Chest x-ray for asthma exacerbation
  • Deep suctioning in bronchiolitis
  • Feeding in bronchiolitis
  • HFNC Physiology 
  • Management of Croup
  • Pulse Oximetry in Bronchiolitis
  • Using inhalers for patients with acute asthma exacerbation
  • Use of Chest Physiotherapy in Community Acquired Pneumonia
  • Use of Steroids in Anaphylaxis
 
Rheumatology
  • Diagnostic Testing for Systemic Lupus Erythematous
​
Other
  • A systems-based differential diagnosis approach: Agitation in children with medical complexity
  • Diagnosis of BRUE
  • Prescribing NPO for Sedation and Anesthesia

References

Lang, V. J., et al. (2012). Collaborative development of teaching scripts: an efficient faculty development approach for a busy clinical teaching unit. J Hosp Med 7(8), 644-648.
Irby, D. M. (1992). How attending physicians make instructional decisions when conducting teaching rounds. Academic Medicine, 67(10), 630–8.