Oklahoma State College of Osteopathic Medicine Case Study

See why 70% of students felt more confident taking patient histories after completing a DDx case.

+70%
Increase in learner Confidence

Overview

Advancing clinical reasoning with scalable, interactive case-based learning

Oklahoma State University aimed to advance clinical reasoning competencies by implementing a scalable and interactive case-based learning framework. While traditional pedagogical approaches provided foundational knowledge, they were limited in fostering engagement, delivering immediate feedback, and offering faculty comprehensive insights into student performance and progression. 163 osteopathic medical students were piloted through three DDx cases, with results demonstrating clear gains in history-taking confidence and a strong student preference for DDx over other case-based learning tools.

Overview

INSTITUTION
Oklahoma State College of Osteopathic Medicine
PROGRAM
Doctor of Osteopathic Medicine (DO)
STUDENTS
163 osteopathic medical students
DURATION
Multiple sessions across three DDx cases
DELIVERY
Collaborative in-class sessions with structured case progression

The challenge

Traditional case-based learning was not delivering engagement or faculty insight

The program sought a scalable case-based learning solution that would allow osteopathic medical students to practice clinical reasoning and differential diagnosis through realistic patient encounters while providing meaningful feedback on their clinical decision-making.

Traditional case-based learning approaches at Oklahoma State provided foundational knowledge but fell short in several key areas: maintaining student engagement, delivering immediate feedback on clinical reasoning, and giving faculty meaningful insight into student performance. Faculty sought a modern, scalable solution that could enhance interactive learning while providing actionable insights into student progress—without increasing the logistical burden of running clinical learning activities.

The solution

Why DDx by Sketchy?

Three DDx cases aligned to students' current medical knowledge level; students practiced history-taking, diagnostic reasoning, and clinical decision-making in a controlled, supportive setting. Real-time feedback challenged students to think critically about differential diagnoses at each stage of each case and faculty gained comprehensive insights into student performance and progression across the cohort

DDx was integrated into the Oklahoma State curriculum as a collaborative, in-class case-based learning tool. Through structured case progression and real-time AI feedback, students actively practiced the clinical reasoning and diagnostic decision-making skills that define strong clinical performance. The case selection was designed to align with students' current level of medical knowledge while challenging them to think critically about differential diagnoses.

How did DDx by Sketchy fit?

DDx was piloted across multiple weeks, where osteopathic medical students completed three cases through collaborative discussion and structured case progression.

Cases Included:

  • Chest pain
  • Appendicitis
  • IBS

Students engaged with DDx cases as part of their coursework, using the platform to practice:

  • Chest pain
  • Appendicitis
  • IBS

The results

70% of students left more confident in history-taking

70%
of students agreed or strongly agreed they were more confident taking a patient history after completing a DDx case
8
out of 10 average student rating for how enjoyable and engaging DDx was to use
6.3
out of 10 average rating for other case-based learning tools, compared to 8 out of 10 for DDx

Testimonials

What did students say?

"This case was great! I really enjoyed it and felt challenged enough to learn, but supported enough to not feel like giving up."
"That was honestly so cool! I've never done anything like that before, so getting the practice in was phenomenal."
"I believe this helps by simulating what an actual conversation between myself and an attending would have been like. It helped me focus on the types of questions I should be asking a patient."

Clinical reasoning development at scale

The pilot implementation of DDx at Oklahoma State demonstrated the platform's ability to support clinical reasoning development, enhance student engagement, and provide a scalable, interactive supplement to traditional case-based learning. With positive student feedback and valuable faculty insights, the pilot underscored the potential of AI-enabled case-based learning to enrich medical education and support the development of future healthcare professionals.

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