Rheumatology Objective Structured Clinical Examination (ROSCE)
The original Thieves’ Market was located off the Sungei Road in Singapore after WWII. There, contraband goods were sold which had previously been looted from the British Military or stolen from other places. However, people would go there with the hope of finding lost items. Similarly, rheumatologists have been attending “Thieves’ Markets” at Rheumatology meetings for decades with the hope of finding lost diagnoses. The educational purpose of this learning style is to tease savvy rheumatologists with diagnostically challenging patient presentations. It seems to help us become more discerning diagnosticians (an important attribute of all rheumatologists) recognized by our peers in medicine.
The successful Thieves’ Market case will be:
At the conclusion of the Thieves' Market, we are surprised by the diagnosis or gratified that we “made the diagnosis” before it was revealed. It is helpful if there are images and tests to properly interpret along the way. Humor is encouraged as part of the performance.
At the upcoming 2016 Annual Meeting, the finalists will each make a 10 minute PowerPoint presentation to the meeting attendees allowing 5 additional minutes for Q and A. The audience will be polled via an audience response system with the following questions:
1. Uniqueness/Novelty.
2. Relevance.
3. Scholarly value (add new knowledge).
4. Overall merit of the presentation.
Scores will be tallied and winners announced at the Saturday night reception. There is prize money involved, $300 1st place, $150 2nd place, $75 3rd place. Those that are not selected as finalists but deemed worthy, will be invited to make posters of their cases for poster session presentation during the Saturday morning break.
Submitted by, Alfred Denio, III, MD
The successful Thieves’ Market case will be:
- A well-rehearsed presentation of a patient with a rare disease, or
- A well-rehearsed presentation of a common disease with a rare presentation.
- The fellow will engage the audience in asking "what would you do next."
- The case must be a real case.
- One does not want to reveal too much information too early or it spoils the intellectual challenge.
At the conclusion of the Thieves' Market, we are surprised by the diagnosis or gratified that we “made the diagnosis” before it was revealed. It is helpful if there are images and tests to properly interpret along the way. Humor is encouraged as part of the performance.
At the upcoming 2016 Annual Meeting, the finalists will each make a 10 minute PowerPoint presentation to the meeting attendees allowing 5 additional minutes for Q and A. The audience will be polled via an audience response system with the following questions:
1. Uniqueness/Novelty.
2. Relevance.
3. Scholarly value (add new knowledge).
4. Overall merit of the presentation.
Scores will be tallied and winners announced at the Saturday night reception. There is prize money involved, $300 1st place, $150 2nd place, $75 3rd place. Those that are not selected as finalists but deemed worthy, will be invited to make posters of their cases for poster session presentation during the Saturday morning break.
Submitted by, Alfred Denio, III, MD
