Case Submission

Clinical Case Aided Led Learning (CALL)

This learning opportunity will be based on discussions of challenging clinical cases among providers via web-based conferencing. Participating providers will be asked to submit clinical cases that will be shared with other providers participating on the CALL with the anticipation to gain insight to address the clinical challenge. Providers wishing to present a challenging case are asked to submit de-identified data prior to the CALL so key aspects can be shared with colleagues. the CALL is meant to be an educational event and not to be interpreted as a clinical consultation.

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* 1. Submitting clinician:

Question Title

* 2. Tell us about your case submission:

Case ID (any letters to recognize specific case):

Gender:

Age:

Condition/Issue of concern (provide details of condition including duration, prior treatments and outcomes, severity, contributing diagnostic data: labs/imaging, etc.):

Significant past/Contributing medical history (provide details including any co-morbidities, medications, use of hormone replacement, surgeries, behavior health issues, etc.):

Significant past/Contributing social history (provide details regarding support system/relationships, degree of engagement in health care, employment, health behaviors, etc.):

Question Title

* 1. Submitting clinician:

Question Title

* 2. Tell us about your case submission:

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* 3. Is there any additional information that should be shared?