Oral Presentation Guidelines
Oral Presentation Guidelines
by Steve McGee, M.D.
The Oral Case Presentation is an art form that requires concerted effort and repeated practice. Although the style of presentation may vary depending on the clinical setting, service, and time available, these guidelines are a good starting point for presentations during post call attending rounds and case conferences.
PrinciplesPurpose of the case presentation: to concisely summarize 4 parts of your patient’s presentation: (1) history, (2) physical examination, (3) laboratory results, and (4) your understanding of these findings (i.e., clinical reasoning)Basic structureIdentifying information/chief complaintHistory of present illnessOther active medical problems, medications, habits, and allergiesPhysical examination (key findings only)LaboratoryAssessment and planNote: Sections covering family history, social history and review of systems are excluded from the case presentation. If a fact from the social history is relevant to the chief complaint (e.g., homelessness), it should appear in the “history of present illness” section.Basic guidelinesThe oral presentation is brief. Its length is always <5 minutes, and ideally <3 minutes.The oral presentation is delivered from memory (it is OK to refer intermittently to note cards). Importantly, you should try to make eye contact with your listeners during the presentation.The oral case presentation differs from the written presentation. The written presentation contains all the facts; the oral presentation contains only those few facts essential to understanding the current issue(s).The oral presentation emphasizes "history of present illness" and "assessment and plan", and the listener’s attention is most acute during these sections (see below). Consequently, good presenters move as quickly as they can from the end of the "history of present illness" to the "assessment and plan" section.
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