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Treatment Evidence Map

Run the Treatment Evidence Map MicroSim Fullscreen

About This MicroSim

Headlines often blur the line between a treatment that is FDA approved, one that is still being tested, and one that is just being sold. This MicroSim gives you 13 treatment cards from Chapter 17, one at a time, and three bins:

  • Approved, cleared, or standard care: FDA approved, cleared, or authorized for that exact use, or recommended by guidelines and backed by trials.
  • Experimental (still being tested): studied in people, but the evidence isn't strong enough for approval or routine use.
  • Unproven or unsafe: no good evidence for the claim, or known to carry serious risk.

After each choice, a feedback panel tells you whether you were right and gives a one-sentence reason drawn from the chapter's sources. The same technology can land in different bins: vagus nerve stimulation is approved for epilepsy, depression, arm-movement rehabilitation after stroke, and rheumatoid arthritis, but experimental for Crohn's disease. Statuses are for the United States as of October 2026.

How to Use

  1. Read the treatment card at the top. Decide which bin it belongs in.
  2. Drag the card into a bin, or tap the bin.
  3. Read the feedback panel. If you got it wrong, find the word on the card that changes the answer (the condition, the type of device, or the type of evidence).
  4. Press Next card to continue. Your sorted cards appear in each bin with a check or a cross.
  5. When all 13 are sorted, note your score. Press Start over to reshuffle and try again.

Learning Objective

Bloom level: Evaluate. The learner will classify gut-brain treatments by FDA status and strength of evidence (approved, cleared, or standard care; experimental; unproven or unsafe) and justify each choice with evidence.

Iframe Embed Code

<iframe src="https://aaryavvatts-lab.github.io/gut-brain-textbook/sims/ch17-treatment-evidence-map/main.html" height="562px" width="100%" scrolling="no"></iframe>

Lesson Plan

Grade level: 9 to 12 (biology, health science, or anatomy and physiology)

Duration: 20 to 30 minutes

Activity:

  1. Warm-up (3 minutes). Ask: "If something is FDA approved for one disease, is it approved for all diseases?" Collect quick answers.
  2. Sort (10 minutes). In pairs, students sort all 13 cards without looking at the chapter, then record their score and every card they missed.
  3. Investigate (7 minutes). Each pair picks two missed cards and finds the matching section of Chapter 17 to explain the correct bin in their own words.
  4. Discuss (6 minutes). Why do the vagus nerve cards land in different bins? Why is a low-dose antidepressant for IBS in the "standard care" bin even though it's off-label?
  5. Limits (3 minutes). Read the "What this model leaves out" box and name one way real evidence is more complicated than three bins.

Assessment questions:

  1. What is the difference between FDA approval, clearance, and authorization for a device?
  2. Why is FMT in different bins for recurrent C. difficile infection and for autism?
  3. What would need to happen for vagus nerve stimulation for Crohn's disease to move into the approved bin?
  4. Why is a do-it-yourself fecal transplant classified as unsafe?

Chapter 17: Medicine for the Gut-Brain Axis