Nanbu Medical Center / JrSr-Hawaii Medical Education Program
Clinical Reasoning PBL Workshop
Gerald Stein, MD, FACP
  January 18, 2025







Nanbu Medical Center  - Japanese Home Page

Junior Senior Home Page

Hawaii Medical Education Program Website Dr. Stein’s JrSr HMEP archives:
HMEP (2/21/2021), Shizuoka Medical Center (06/21/2021), Tokyo Bay Medical Center (11/19/2021)
Shizuoka Medical Center (02/04/2022), Tokyo Bay Medical Center (06/17/2022), Tokyo Bay Medical Center (09/09/2022),
Shizuoka Medical Center(01/13/202), Tokyo Bay Medical Center(04/28/2023),
Shizuoka Medical Center(07/28/2023),  Tokyo Bay MedicalCenter (10/11/2023)
Tokyo Kita Medical center(01/26/2024, Metropolitan Hiroo Hospital(04/12/2024,
Tokyo Bay Medical Center(07/12/2024), Tokyo Bay Medical Center(10/18/2024), Nanbu Medical Center(01/18/2025)

 Click to jerrydoc@ufl.edu to request Album > Pictures
Nanbu Medical Center/JrSr Hawaii Medical Education Program 2025_01_18
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1Group.jpg
Drs Machi & Seagusa-Beecroft introduce Drs Stein & Nanbu Medical Center, Okinawa, presenter Dr Abe.		 2PresentIllness.jpg
Dr Abe presents patient's present history as acute transfer from small island for vital signs instability, fever, conscious disturbance, vomiting, & gram - rod bacteremia		 3PastHistory.png
Dr Abe presents patient's past medical history of rheumatic heart disease with aortic & mitral valves prosthetic valve replacements, atrial fibrallation, & chronic HBV 		4Summary.png
Dr Abe presents patient's summary of fever, vomitring, conscious disturbance, gram - rod bacteremia, & bilateral chest exam of dullness to percussion & crackles
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Dr Tsusu shares her worksheet of important history & exam data, grouping and excellent differential diagnosis of Sepsis, pneumonia, infective endocarditis, & acute kidney injury		 6DrAbeProblemListPlans.png
Dr Abe presents patient's very complete and accurate assessment & plans of the small island hospital pre- transfer to the mailn island hospital		 7DrAbeProblemListPlans2.png
Dr Abe presents patient's very complete and accurate assessment & plans of the main island hospital post- transfer demonstrating clear cl;inical reasoning & thinking		 8ECF_AtrialFlutter.jpg
Dr Abe presents patient's ECG showing visible and invisible flutter waves of atrial flutter
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Dr Abe presents patient's TEE showing prosthetic mitral valve vegetation,; CT showing iliopsoas abscess & cerebral infarcts from Edwardsiella tarta prosthetic valve infective endocarditis		 10ClinicalCourse.jpg
Dr Abe presents patient's clinical course showing Edwardsiella tarta + blood cultures, fever, antibiotics, leading to surgical prosthetic aortic & mitral valves replacements		 11DrSteinWorksheet.jpg
Dr Stein discusses his page 2 worksheet of important data & differential diagnosis with plans. Drs Saito & Tsusu ask and discuss patient's course and diagnosis with Dr Abe		 12DrSteinChatGPT.jpg
Dr Stein demonstrates use of AI/ChatGPT, emphasing need to ask questions & respond to answers with further questions, checking the answres for accuracy with ChatGPT robot
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Dr Stein explains the importance of GIM chief, Tokyo Bay Medical Center, Dr Ehaha's studies of early warning scores for alerting clinicians to dangerous patient changes