Barts-MS rose-tinted-odometer: ★★★★★
At Barts-MS we spend a lot of time teaching people about MS. It is not only important to generate new information (ideas, testable hypotheses and research), but also to disseminate knowledge (teaching). However, with the COVID-19 pandemic and the resultant social distancing, almost all teaching has gone online and that does not make for very engaging and interesting. Most of us are webinar-ed or Zoomed-out. I wrote a piece on Medium that I titled Zoomed-Out addressing this exact point.
Can we make teaching the next generation of potential MSologists more interesting? I think we can. The following is an example of case-based teaching we are trying out at our first MS Academy Basecamp in a few week’s time. Let’s hope it works and it encourages more junior doctors, nurses, therapists and other allied HCPs to plan a career in multiple sclerosis.
Scenario 1: You are called to see a case with double-vision due to an internuclear ophthalmoplegia (INO) in casualty and an abnormal MRI suggestive of MS.
- How are you going to confirm the location of the lesion?
- How do you diagnose MS?
- What MS mimics do you need to exclude?
- How do you profile the patient’s prognosis at baseline?
- Is the patient eligible for DMTs?
- How do you de-risk the DMTs?
Scenario 2: Your consultant asks you to see a young woman of 26 with her partner. She is coming for a scheduled follow-up appointment after a diagnostic work-up for MS. The consultant tells you she has MS.
- How are you going to confirm the diagnosis of MS before seeing her?
- How are you going to tell her the diagnosis?
- How are you going to counsel her about her future disease course?
- She asks if she can have a family. What are you going to tell her?
- What is active MS, highly active MS and rapidly evolving severe MS?
- What is the difference between maintenance-escalation and immune reconstitution therapies? How are you to explain the difference to them between these two treatment options?
Scenario 3: You are asked to do an MS follow-up clinic for your consultant neurologist?
- How are you going to prepare for the clinic?
- What information are you going to record in the medical notes?
- How are you going to investigate and manage an MS-bladder?
- How do you manage MS-related fatigue?
- Should you routinely screen for and manage MS-related cognitive impairment?
Scenario 4: You attend your departments, MS Research Day, for patients with MS and are asked to prepare a teaching session for the attendees.
- How do you explain the cause of MS to the attendees?
- What are the latest treatments available for progressive MS?
- A woman attendee asks you about the risks of her children getting MS. What do you tell her?
- An attendee asks about stem cell therapy; how are you going to counsel her?
What would you want us to teach the next generation of MSologists and how?