These are some of the challenges and possible solutions in my specific clinical setting
1. No prior knowledge of students on the topic for discussion - give reading assignments prior to the actual patient encounter (planning ahead) and do short brainstorming activities prior to the activity itself
2. Informant giving disorganized data - assign students in pairs with teacher supervision to obtain the data and information needed
3. Few patients for the assigned unit/area - use of simulation and medical models
4. Language barrier of students to informants/patients - assign students in pairs with one student fluent in the local dialect and with teacher supervision
5.No medical instruments to use - assign a specific student to bring the needed medical instruments