MAAS-G Medical Problem-solving

1Diagnostic Classification About Main Complaint

• 1.1Write down a maximum of three possible diagnoses in order of decreasing probability

2Aetiological Factors & Conditions

• 2.1Write down the three most important recent factors or conditions which play a role in the origin of this somatic or mental health problem (e.g. somatic factors, psychosocial stressors, life-events, etc.)

3Risk & Maintaining Factors

• 3.1What long-standing factors precipitated and/or maintained the pertinent health problem?

4Treatment Plan: Content

• 4.1What patient management plan (further examination, treatment plan or both) do you, based on the collected data, propose?

5Treatment Plan: Considerations & Theoretical Support

• 5.1Adduce arguments in support of the elements of your management plan

• 6.1Instructions for use

  Students and physicians are requested to respond to open-ended questions about differential diagnosis, explanatory hypotheses and hypotheses about further management.

  In simulated consultation hour situations, scoring takes place by comparing physician’s responses on the questions with criteria predefined by a panel of test-constructers.

  • A variable Diagnosis & Aetiology is the summation score of the correctness of the diagnosis, the elaboration of the differential diagnosis and correctness of explanatory hypotheses.
  • The variable Patient Management Plan is a summation of the correctness about further patient management and the agreement between the request for help and the proposed patient management plan.

  MAAS-G-Medial Problem-Solving can be applied for instruction as well as for evaluation and assessment in medical education and residency training.

  MAAS-Medial Problem-Solving was constructed for the Medical Problem-Solving section of the Competency in Medical and Psychomedical Education project (Crijnen & Kraan, 1983).

  © Crijnen & Kraan 1985 – 2021