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45 min · healthcare education

Clinical reasoning — template with patient case and SBAR

Template for a 45-minute clinical reasoning session. Patient case with SBAR report, first impression via word cloud, live differential diagnosis, lab interpretation as a deepening layer, and reflection. With scaffolding for MBO level 4 and HBO. Fill in your own case, keep the didactic structure.

Use this template

The phases

  1. 1
    Case presentation· 5 min

    Patient introduction via SBAR. Vital parameters, history, first findings.

  2. 2
    First impression· 5 min

    Word cloud: which thoughts come to mind? Students see the collective impression — often surprisingly diverse.

  3. 3
    Differential diagnosis· 10 min

    Multiple choice with the top 3 most likely diagnoses. Discuss the live distribution.

  4. 4
    In-depth questions· 10 min

    Open question: which information would you want to have? Discuss the top answers as a class.

  5. 5
    Lab result (layered)· 5 min

    Layered slide: the teacher reveals the result, students interpret it in the context of earlier hypotheses.

  6. 6
    Diagnosis + treatment· 8 min

    MC: likely diagnosis and first treatment action. Prioritize via the ABCDE system.

  7. 7
    Reflection + exit· 2 min

    Open question: what did you learn? The cockpit shows understanding per learning objective.

What you get

  • A 7-phase skeleton, ready to fill with your own case
  • SBAR template for the patient introduction
  • Scaffolding layers for differentiation (basic + advanced)
  • Image Studio prompts for case personas
  • Real-time cockpit for the teacher with understanding per learning objective

Frequently asked questions

For which healthcare programmes does this template work?+

MBO nursing level 4, HBO Bachelor of Nursing, medicine, allied health programmes (physiotherapy, occupational therapy, speech therapy) and specialist follow-up training. The structure (presentation → first impression → hypothesis → testing → diagnosis) is overarching for clinical reasoning across all healthcare disciplines.

May I use real patient data in a case?+

No. LectaMe is an educational tool, not a healthcare information system. Always use anonymised cases or fictional personas. For healthcare programmes a data processing agreement (DPA) is available that formally records this. AI personas from Image Studio provide a neutral alternative to stock photos of patients.

How do I adapt this template for my field?+

Keep the phase structure (presentation → impression → hypothesis → testing → diagnosis → reflection). Replace the medical content with your field: for physiotherapy "differential diagnosis" can be replaced by "intervention choice", for speech therapy by "treatment plan priorities". The didactic build-up stays the same.

How does scaffolding work in this template?+

Three scaffolding layers are built in. Base layer for everyone: presentation + simple differential diagnosis. Deepening: lab interpretation. Further deepening: complex comorbidities. Students who get stuck on the basics receive extra hints; students who finish quickly open the further layers.