Knowing the final diagnosis may impair differential diagnosis generation. If someone knows a diagnosis before a case is opened, they should let the group know they will be quiet during the query part of the case. The goal of the case is not to solely determine the final diagnosis. It is the learning issues that stems from the case that are important. Students should fully investigate the differential diagnosis.
Students tend to narrow their list of hypotheses too quickly.
It is the responsibility of the tutor to keep the differential diagnosis open. Segment directors need to remind their tutors about this issue. Doctoring One large group session on Risk was done in this segment. Students report this session lasts too long. Small group sessions are running well.