The P-4 Deck (Portable Patient Problem Pack): Educational Tool of the Future?

This paper describes the structure and use of the Portable Patient Problem Pack (P-4 Deck) as a clinical simulation and educational tool. Originally designed by Dr. Howard Barrows of McMaster University to present medical diagnostic problems, the deck has been adapted by the author for occupational therapy. This tool is described and its current use in this context and future trends are outlined.