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Clinical Decision-Making Case: Intussusception.

Brian Milman1, Samuel Parnell1

  • 1UT Southwestern Medical Center, Department of Emergency Medicine, Dallas, TX.

Journal of Education & Teaching in Emergency Medicine
|January 12, 2026
PubMed
Summary
This summary is machine-generated.

This clinical decision-making case prepares emergency medicine residents for the new certifying exam by simulating pediatric intussusception scenarios. Residents found the mock oral boards highly valuable for developing critical history-taking, diagnostic, and management skills.

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Area of Science:

  • Emergency Medicine
  • Medical Education

Background:

  • The American Board of Emergency Medicine (ABEM) is transitioning to a new Certifying Exam in 2026.
  • Clinical Decision-Making (CDM) cases are a key component of the new exam format.
  • Few resources exist to prepare residents for the pediatric CDM case format.

Purpose of the Study:

  • To present a novel Clinical Decision-Making (CDM) case for emergency medicine residents.
  • To familiarize residents with the CDM case format and pediatric intussusception management.
  • To assess the educational value of the mock oral boards session.

Main Methods:

  • A simulated pediatric intussusception case was developed based on ABEM guidelines.
  • Emergency medicine residents participated in virtual mock oral board sessions.
  • Performance was scored, and participants completed post-case surveys on educational value.

Main Results:

  • Residents achieved an average score of 20.3/25, correctly diagnosing intussusception and justifying key investigations.
  • Areas for improvement included specific history elements and vital sign reporting.
  • 95% of surveyed residents found the case helpful for exam preparation, rating its educational value 4.7/5.

Conclusions:

  • This CDM case effectively familiarizes residents with the exam format and pediatric intussusception management.
  • The mock oral boards provide high educational value, enhancing preparedness for the ABEM Certifying Exam.
  • The case highlights specific areas for resident development in history taking and clinical assessment.