hi, folks

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STEPS criteria to teach therapy choices (and more) Joshua Steinberg MD UHS Wilson Family Medicine Residency SUNY Upstate Medical Univ jds91md@gmail.com

Objectives inform and disseminate about novel approach obtain feedback from fellow educators encourage collaboration on STEPS tables

Teaching Goal Students & residents have a tough time organizing and making choices when faced with an overwhelming number of options 11 categories of HTN meds (maybe 50 meds total) 10 categories of DM2 meds (32 meds plus other interventions) contraception… let’s demonstrate!

make a list of methods

what do women care about?

evaluate a method with STEPS

full STEPS table

more STEPS tables could probably do this with lots of things interventions for depression interventions for hypertension interventions for bipolar start with exhaustive list of interventions/meds or categories of meds ask everyone what criteria would help us see the strengths and weaknesses of options, arrive at STEPS have the group make STEPS table and start to see why which agents shine and which are less good and which no good

Gain Attention Inform Objectives Connect to Prior Knowledge Present Information Provide Guidance Elicit Performance or Practice Provide Feedback Assess Performance Enhance Retention and Transfer recognize they’re overwhelmed, help ‘em overcome make sense of many choices, learn scheme often know most of the content for the grid boxes arrive at options, STEPS scheme, completed grid guide them to STEPS, give tips on options break them up into groups to do a column each lots of feedback as we construct the grid mostly during precepting cases afterwards everyone goes home with grid as handout

Discussion what do you think? do you want to get involved? joshua steinberg jds91md@gmail.com