Teaching first year medical students together Mr. Huub Kooijman Dr. Marlies Wijsenbeek Getting prepared before the lecture

Differential diagnosis Symptom The patient: Mr Kooijman The doctors: the students History Physical examination Problem Differential diagnosis Additional tests Working diagnosis Treatment Disease course

Story and symptoms Shortness of breath 2012 After 5 months refered to hospital

We ask the students: What investigations do you need?

HRCT-scan Normal lungs My fibrotic lungs Fibrosis

Letting the students know the impact of telling a patient that he or she has a deadly disease Survival in IPF is worse than in many cancers. Vancheri ERJ 2010

No medication that cures IPF Screening longtransplantation Shortage of donor organs Long waiting time People die while on the waiting list Inmense uncertainty

Lung function went down and down over time Normal lung function range

On the heart-lung machine Telling student what this does to a patient to be completely depend for your life on a machine and many people

4 june 2015 lung transplantation!! new lung old lung

Lung function after transplantation Lungtransplantation

Why patients should tell their story Appearance may be misleading Impact leads to remembering Improved recognition of (rare) diseases Emotional side of having a deadly disease Impact on family Also acknowledging emotions of the doctor

Let patients speak THANK YOU Together looking back at a lecture And looking forward to many more to come THANK YOU