WEEK 5: Testing the Cognitive Domain (16 OF 29)

Item Design for Each Cognitive Level: Synthesis/Creating

Synthesis/Creating: Types of Questions and Assessment Strategies

Compiling Information in Different Ways

The text discusses the concept of synthesis in cognitive learning, which involves combining information or concepts to create a new coherent whole. Intermediate strategies in synthesis involve more complex scenarios that require a higher level of synthesis. The purpose of synthesis-level items is to gauge students' ability to innovate and design, test their capacity to integrate knowledge areas into a coherent solution, and foster forward-thinking and proactive problem-solving skills.

    BASIC Information

"Synthesis" or "Creating" in the realm of cognitive learning refers to students' capability to combine multiple pieces of information or concepts, crafting a new, coherent whole. It's not just about knowing or understanding but using the knowledge in innovative and novel ways.
Types of questions for this level:

Predictive Questions: Predict outcomes based on given data.
Constructive Questions: Create a plan or strategy based on presented scenarios.
Examples for PA students: Example (Predictive): "If a patient takes both a beta-blocker and a non-dihydropyridine calcium channel blocker, what cardiovascular effects might you anticipate?" Answer: There may be a compounded effect of bradycardia and decreased cardiac output, given both medications reduce heart rate and contractility.
Example (Constructive): "Design a patient education session on hypertension management."

Answer: Introduce what hypertension is, discuss lifestyle modifications (diet, exercise, etc.), explain common medications and side effects, and underscore the importance of regular blood pressure monitoring.

    INTERMEDIATE Information

Intermediate strategies delve into more complex scenarios that demand a higher level of synthesis.

Case Scenarios: Create a holistic management plan for patients.
Hypothetical Situations: Propose interventions or predictions for potential scenarios.
Protocol Development: Design a protocol for handling certain medical conditions.
Examples for PA students:

Example (Case Scenarios): "A patient with a history of COPD and heart failure presents with worsening dyspnea over three days. Synthesize the information to propose a management plan."

Answer: Consider the possibility of an acute COPD exacerbation or heart failure decompensation. Assess oxygenation, initiate bronchodilators, consider diuretics, and monitor cardiac and respiratory status.
Example (Hypothetical Situations): "Imagine a scenario where there's an outbreak of an unknown viral illness in a community. What steps would you recommend?"

Answer: Begin with public health notifications, initiate quarantines if necessary, deploy research teams for viral identification, and start symptomatic treatment protocols while awaiting specific treatments or vaccines.
Example (Protocol Development): Based on known protocols, design a step-by-step protocol for managing a patient who presents with a suspected stroke.

    ADVANCED Information

Purpose of Synthesis-Level Items:

Gauge students' ability to innovate and design.
Test capacity to integrate various knowledge areas into one coherent solution.
Foster forward-thinking and proactive problem-solving skills.
Advanced Item Design Techniques:

Complex Multisystem Cases: Handle patients with multiple co-morbidities.
Advanced Clinical Guidelines: Develop guidelines for newly emerging conditions.
Interdisciplinary Integration: Combine knowledge from various medical domains into patient management.
Additional Material:

Advanced synthesis demands a panoramic view of medicine, integrating multifaceted information into constructive outputs.
Example (Complex Multisystem Cases): A patient with renal failure, diabetes, and recent surgical wound infection is admitted for sepsis. Students must synthesize an approach considering nephrotoxic medications, blood sugar control, and infection source control.

Example (Advanced Clinical Guidelines): Given recent research on a novel autoimmune condition, students might be tasked with creating a preliminary clinical guideline, synthesizing current research, potential treatments, monitoring guidelines, and patient education.

Example (Interdisciplinary Integration): A patient with cancer presents with psychiatric symptoms and new neurological deficits. Students must integrate oncology, psychiatry, and neurology to synthesize a diagnostic and therapeutic plan.


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WEEK 5: Testing the Cognitive Domain (15 OF 29)
Item Design for Each Cognitive Level: Analysis
Analysis: Types of Questions and Assessment Strategies
WEEK 5: Testing the Cognitive Domain (17 OF 29)
Item Design for Each Cognitive Level: Evaluation
Evaluation: Types of Questions and Assessment Strategies for Evaluation
Justifying a Stand or Decision

REFERENCES

ChatGPT1 was used to generate most of the textual aspects of this page, as well as the HTML code, which were then checked for quality and corrected as necessary.
Midjourney Bot (in Discord) and Canva were used to generate images
1. ChatGPT. Version 4. OpenAI; 2023. Accessed August, 2023. OpenAI.com
2. Midjourney. Version 5.2. Midjourney; 2013. Accessed August, 2023. Midjourney.com
3. Discord. Discord, Inc.; 2023. Accessed August, 2023. Discord.com
4. Canva. Canva Pty Ltd; 2023. Accessed August, 2023. Canva.com