Guidelines for Case Presentation

Resident will present towards the end of a rotation a Case Conference. This will include be a 20 minute presentation followed by a 5 minute question and answer session.

Required Components

  1. Case Presentation
  2. Resident will present an actual patient with whom they were involved in the clinical management.
  3. A history, physical exam and hospital course will be presented.
  4. Appropriate imaging studies will be presented.
  5. The presentation should be on PowerPoint. Hand-outs are optional.
  1. Review
  2. Resident will pick a focusedcritical care topic to present that relates to their patient from the following categories:
  3. The development of new diagnostic or therapeutic approaches (e.g. use of decompressive craniectomy in severe head injury)
  4. A change in practice (e.g. recommendation for use of unfractionated heparin vs. low molecular heparin in the treatment of thrombosis or DVT prophylaxis)
  5. An ethical dilemma
  6. An introduction of a new experimental approach or study design
  7. An introduction of a new technological innovation
  8. The development of a new outcome measure or surrogate marker
  1. All topics need to be approved by the attending faculty at least 1 week in advance of presentation.
  1. Grading Policy
  2. The grading policy for this presentation 1= unsatisfactory, 2 = satisfactory 3 = highly satisfactory 4 = excellent
  3. If a resident received a low score in the presentation, an opportunity for remediation will be provided.
  4. The following rubric is provided to help guide resident on what is expected.

Grading System for Presentation

1 / 2 / 3 / 4

Time

/ Poor use of time, either not using alloted time or unable to complete main points of presentation . / May need to rush a few slides of presentation to finish. / Good time management, may run slightly over or under alloted time. / Completes presentation on time.
Style / Oral presentation is disorganized & poorly integrated. Limited eye-contact with audience, re00ads presentation. Hard to understand. / Oral presentations generally organized, but verbose or confusing. Makes eye contact but at times may seem unconnected to audience. / Well-organized, coherent & complete oral presentation. Better eye contact and connection to audience. / Oral presentation is complete, concise, orderly & polished; intellectually aggressive; clear delineation of all clinical issues.
Case Presentation / Very incomplete or inaccurate history. Exam is incomplete. / Some important information is missing. May be verbose. Exam is generally complete. / Complete & accurate history, well organized and comprehensive. Physical exam is complete, properly sequenced, reliable. Identifies relevant findings. / Comprehensive information; thorough & precise. Identifies subtle problem areas. Physical exam thorough, elicits subtle findings.
Review / Poor demonstration of basic science, pathophysiology & clinical or ethical information; cannot relate it to the case. / Has basic knowledge of disease processes & pathologic events; some ability to relate information to clinical case. / Above average knowledge relevant to case presentation; able to correlate this knowledge well with patient presentation. / Superior knowledge with mature application to clinical setting; able to evaluate/apply recent literature.
Media / Does not include appropriate radiographic images or illustrations. Slides and/or handouts are unintelligible. / Includes some relevant radiographic images or illustrations. Some slides and/or handouts may be difficult to read. / Includes most relevant radiographic images or illustrations. Slides are clearly legible. / Includes all relevant radiographic images and illustrations. Slides and/or handouts are uniformly excellent.
References / Does not utilize appropriate references / Generally uses appropriate references, but possibly incomplete. / Uses appropriate evidence based references with complete notations. / Well documentation of evidence based approach using best information available.
Q/A period / Unable to answer relevant questions in any appropriate manner. / Somewhat awkward response to questions with rudimentary answers. / Clear correct responses to relevant questions. / Produces sophisticated responses to questions.