The Five Question Protocol in Action

The chart below introduces how the 5QP works in both an art museum and a medical setting.

QUESTIONS ART MUSEUM SETTING HEALTHCARE SETTING
WHAT DO YOU SEE? Collect information by looking. Collect information by history and physical (H & P).
DOES THIS REMIND YOU OF ANYTHING? Add info from similar artworks, artists, experience.
Acknowledge cognitive/affective resonances.
Add info from similar cases.
Acknowledge cognitive/affective resonances.
Premature closure causes difficulties.
WHAT’S THE STORY?
WHAT IS YOUR EVIDENCE?
Interpret information to generate hypotheses.
Identify visual elements to support hypotheses.
Identify what may not be present.
Interpret information to generate hypotheses (Differential Diagnosis).
Identify evidence from H & P, labs to support hypotheses.
Identify what may not be present.
WHAT INFO WOULD CONFIRM YOUR HYPOTHESES? Ask questions to test hypotheses. Restate uncertainties. Generate a plan to rule in or out diagnoses.
WHAT DID YOU OBSERVE ABOUT YOURSELF? Critically appraise your interaction with the artwork and others. Consider your interpretation and notice the effect of your insights and assumptions. Critically appraise your interactions with patient and others. Consider your diagnosis and notice the effect of your insights and assumptions.