Teaching protocols, also called teaching algorithms, fall somewhere between
strict protocols and physician protocols; they guide students through the
exercise of professional judgment. Teaching protocols thus fill the dual purpose
of providing consistency of care and helping students learn how to make good
judgments.
The hallmark of a teaching protocol is a differential diagnosis list, which is
generally unnecessary in a physician protocol and not proper in a protocol
intended for NPPs. The classic example of a group of teaching protocols is the
Washington Manual of Medical Therapeutics, often called the “intern’s brain.”
The entries in this manual include a general definition of the condition and a
list of other possible causes of the patient’s problems. It then explains how to
treat the patient, with reasons for some of the recommendations. Medical
students use this source to learn about basic treatments. Residents use it as a
treatment guide and for help in solving unfamiliar problems. Established
physicians consult it when caring for patients with a problem they have not
treated recently or for which treatment standards have changed. Each would
learn from the protocols and use them according to their level of training and
licensure.