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How to Prepare an Outstanding Journal Club Presentation

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Rishi Sawhney; How to Prepare an Outstanding Journal Club Presentation. The Hematologist 2006; 3 (1): No Pagination Specified. doi: https://doi.org/10.1182/hem.V3.1.1308

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Dr. Sawhney is a member of the ASH Trainee Council and a Fellow at the Medical University of South Carolina.

Journal club presentations provide a forum through which hematology trainees keep abreast of new developments in hematology and engage in informal discussion and interaction. Furthermore, honing presentation skills and mastering the ability to critically appraise the evidence add to our armamentarium as clinicians. Outlined here is a systematic approach to preparing a journal club presentation, with emphasis on key elements of the talk and references for electronic resources. Use of these tools and techniques will contribute to the success of your presentation.

I. ARTICLE SELECTION:

The foundation of an outstanding journal club presentation rests on the choice of an interesting and well-written paper for discussion. Several resources are available to help you select important and timely research, including the American College of Physicians (ACP) Journal Club and the Diffusion section of The Hematologist . McMaster University has created the McMaster Online Rating of Evidence (MORE) system to identify the highest-quality published research. In fact, the ACP Journal Club uses the MORE system to select their articles 1 . Specific inclusion criteria have been delineated in order to distinguish papers with the highest scientific merit 2 . Articles that have passed this screening are then rated by clinicians on their clinical relevance and newsworthiness, using a graded scale 3 . With the help of your mentors and colleagues, you can use these criteria and the rating scale as informal guidelines to ensure that your chosen article merits presentation.

II. ARTICLE PRESENTATION:

Study Background: This section provides your audience with the necessary information and context for a thoughtful and critical evaluation of the article's significance. The goals are 1) to describe the rationale for and clinical relevance of the study question, and 2) to highlight the preclinical and clinical research that led to the current trial. Review the papers referenced in the study's "Background" section as well as previous work by the study's authors. It also may be helpful to discuss data supporting the current standard of care against which the study intervention is being measured.

Study Methodology and Results: Clearly describe the study population, including inclusion/exclusion criteria. A diagrammatic schema is easy to construct using PowerPoint software and will help to clearly illustrate treatment arms in complex trials. Explain the statistical methods, obtaining assistance from a statistician if needed. Take this opportunity to verbally and graphically highlight key results from the study, with plans to expand on their significance later in your presentation.

Author's Discussion: Present the authors' conclusions and their perspective on the study results, including explanations of inconsistent or unexpected results. Consider whether the conclusions drawn are supported by the data presented.

III. ARTICLE CRITIQUE:

This component of your presentation will define the success of your journal club. A useful and widely accepted approach to this analysis has been published in JAMA's series "User's guide to the medical literature." The Centre for Health Evidence in Canada has made the complete full-text set of these user's guides available online 4 . This site offers review guidelines for a menu of article types, and it is an excellent, comprehensive resource to focus your study critique. A practical, user-friendly approach to literature evaluation that includes a worksheet is also available on the ASH Web site for your use 5 .

While a comprehensive discussion of scientific literature appraisal is beyond the scope of this discussion, several helpful tips warrant mention here. In assessing the validity of the study, it is important to assess for potential sources of bias, including the funding sources and authors' affiliations. It is also helpful to look for accompanying editorial commentary, which can provide a unique perspective on the article and highlight controversial issues. You should plan to discuss the trade-offs between potential benefits of the study intervention versus potential risks and the cost. By utilizing the concept of number needed to treat (NNT), one can assess the true impact of the study intervention on clinical practice. Furthermore, by incorporating the incidence rates of clinically significant toxicities with the financial costs into the NNT, you can generate a rather sophisticated analysis of the study's impact on practice.

IV. CONCLUSIONS, IMPLICATIONS, AND FUTURE DIRECTIONS:

Restate the authors' take-home message followed by your own interpretation of the study. Provide a personal perspective, detailing why you find this paper interesting or important. Then, look forward and use this opportunity to "think outside the box." Do you envision these study results changing the landscape of clinical practice or redirecting research in this field? If so, how? In articles about therapy, future directions may include moving the therapy up to first-line setting, assessing the drug in combination regimens or other disease states, or developing same-class novel compounds in the pipeline. Searching for related clinical trials on the NIH Web site 6  can prove helpful, as can consultation with an expert in this field.

Good journal club discussions are integral to the educational experience of hematology trainees. Following the above approach, while utilizing the resources available, will lay the groundwork for an outstanding presentation.

WEB BASED REFERENCES

www.acpjc.org

hiru.mcmaster.ca/more/InclusionCriteria.htm

hiru.mcmaster.ca/more/RatingFormSample.htm

www.cche.net/main.asp

www.hematology.org/Trainees

www.cancer.gov/clinicaltrials

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Preparing the Research Presentation

If you have never presented a paper at a scientific meeting, you should read this article. Even if you have presented before, it is likely that this article contains information that will improve your presentation. This article contains a set of practical, proven steps that will guide your preparation of the presentation. Our assumptions are that you will schedule appropriate planning and preparation time, are interested in doing the best job possible, and know that a quality presentation is a combination of good research and communication skills. This and subsequent articles will focus on planning, preparation, creating visual aids (slides), and presentation skills for a scientific presentation. The intent of this series of articles is to help you make a favorable impression at the scientific meeting and reap the rewards, personal and professional, of a job well done.

To begin with, you need to create an outline of the topics you might present at the meeting. Your outline should follow the IMRAC format (introduction, methods, results, and conclusion). This format is chosen because your audience understands it and expects it. If you have already prepared a paper for publication, it can be a rich source of content for the topic outline.

To get you started, we have prepared a generic outline  to serve as an example. We recognize that a generic outline does not necessarily adapt to all research designs, but we ask you to think, "How can I adapt this to my situation?" To help you visualize the content you might include in the outline, two types of examples have been included, one that describes a cross-sectional study using a survey methodology (example A), and a second using a combination of a case-control and cohort designs (example B).

Use the Preparing the Research Presentation Checklist  to assist you in preparing the topic outline.

• Paper Presentations

Presented paper on on comparative study between 0.5 % Ropivacaine with Fentanyl and 0.5 % bupivacaine with fentanyl in USG guided supraclavicular Block in Upper Limb Surgeeries

Presented e-paper on the effect of ketamine in lowering the incidence and severity of post op sore throat after endotrttacheal in patients receiving GA on 19 DEC 2020 at TNISA PG Conclave

Ashish , Logeshwari P

Presented an e-poster on’A randomised control study comparing effect of intravenous dexmedetomidine vs IV esmolol omn attenuation of pressor response to laryngoscopy and endotracheal intubatiion’ and e-paper on ‘the effectiven3ess of dexmedetomidine as an additive to Ropivacaine in supraclavicular brachial plexus block.

Presented e-paper on MAHAYUVAISACON 21 on 20 th Feb 2021 titled as “the effect of nebulised ketamine in decreasing the incidence and severity of post operative sore throat after endotracheal intubation in patients receiving general anaesthesia.

Biochemistry

Made presentation on scientists and clinicians preceptorship for translational research in Webinar 'Biology to Omics' organized by TMS-ACTREC, Navi Mumbai during March 10-12, 2021

Community Medicine

Sero Surveillance in the Wardha District of central India to monitor

SARS Cov 2 infection status among asymptomatic General population

International conference Conquering COVID-19 , at Kasibai Navle

Medical College, Pune.18-19 December 2020

Participated in 5th National IAPSM postgraduate quiz Competition 48th Annual National Conference of Indian Association of Preventive and Social Medicine (IAPSMCON),PGIMER, Chandigarh,19-21 March 2021

Kolhe R , Gupta SS

Relationship of Father's engagement in responsive caregiving with child development a cohort study - presented at IAPSMCON 2021, PGIMER, Chandigarh, 19-21 March,21(poster presentation)

48th Annual National Conference of Indian Association of Preventive and Social Medicine (IAPSMCON),PGIMER, Chandigarh,19-21 March 2021 - Participated in (WAR OF VIDEO COMPETITION) “MAHASANGAM”

2nd IAPSM Young Leaders National Conclave,26-27 March 2021 Participated in (Worth A Thousand Word: Public Health Photography Competition)

Forensic Medicine

Moderate a session topic- crime scene examination-role of doctor in state conference of MLAM“forensicon 2020 on 10 th april 2021 Organized by Department of Forensic Medicine &Toxicology, TNMC & BYL charitable , hospital, Mumbai

Khandekar I L

Chaired a session in 42 nd Annual National conference of IAFM “FORENSIC MEDICON 2021” organized at SCB medical college cuttack, odisha from 23 rd - 24 th Jan 2021,

Moderate a session topic- Non uniformity of medical & medicolegal certificates in state. in state conference of MLAM“ forensicon 2020 on 10 th april 2021 Organized by Department of Forensic Medicine &Toxicology, TNMC & BYL charitable , hospital, Mumbai

Politics of Science in a Pandemic: Impact of Evidence Based Medicine (Guest Speaker)

8 th National Bioethics Conference, 12 December 2020

SP Kalantri

Predictors of Mortality in Venomous Snakebites: Sevagram Story (Guest Speaker)

Amrita Institute of Medical Science (AIMS) Kochi. Amrita National Conference on Snakebite. 22 November 2020

How Covid Vaccines Are Being Developed: Clinical Trials in India (Guest Speaker)

BOOM, 6 August 2020

Aarupadai Veedu Medical College & Hospital. AVMC Webinar Series – ‘Forefront of Future Frontiers’ (Guest Speaker)

Clinical Trials in COVID -19: The Science and Ethics’, 31 July 2020

The Need for Evidence Based Medicine in Treating Covid19 (Guest Speaker)

20 July 2020

14th National Cancer Grid webinar on COVID19 Preparedness (Guest Speaker)

Research Priorities for COVID-19, 18 July 2020

Can Alternative Medicine Be Subject To Modern Rigour? (Guest Speaker)

The Hindu Podcast by Jacob Koshy,3 July 2020

Webinar: Ethical Challenges of Research in a Pandemic (Guest Speaker)

Sunoindia podcast, 27 June 2020

The Why, How & What of Research during COVID era (Guest Speaker)

11 th National Cancer Grid webinar on COVID-19 preparedness, 20 June 2020

Covid and Rural India: Wardha Story (Guest Speaker)

Podcast: SoundCloud by Rukmini S, 10 June 2020

Hydroxychloroquine: More Questions than Answers (Guest Speaker)

BOOM, 5 June 2020

TheEvidence and/or Lack of Evidence for the Effectiveness of Hydroxychloroquinein Treating COVID-19

BBC (British Broadcasting Corporation) Talk , 20 May 2020

Dr. Amrish Saxena

Poster Presentation on Magnitude and determinants of depression in chronic kidney disease patients on maintenance hemodialysis in rural tertiary care hospital at ISN-WZ 2020, 36 th Annual ISN West Zone Conference, Nagpur, 19 th & 20 th September, 26 th & 27 th September 2020.

Microbiology

Presented a paper (Oral Presentation) on “Co infection of pneumocystis

carinii and cryptococcus neoformans” in the 2 nd Annual Conference of

Vidarbha Association of Medical Microbiology VAMMCON-2021 (online) held at Akola on 20 th and 21 st February, 2021

Maraskolhe D

Presented a paper (Oral Presentation) on “Are tuberculosis patients at greater risk of acquiring COVID-19 MGIMS data and Review of literature” in the 2 nd Annual Conference of Vidarbha Association of Medical Microbiology VAMMCON-2021 (online) held at Akola on 20 th and 21 st February, 2021 and received Dr. Ashok Pathak Junior Best Oral Paper Award

Obstetrics and Gynaecology

Presentation on Elderly Girls and How can we keep the rural work force we have ?” Unwanted pregnancies in adolescent girls – Global Challenges

Virtual 17 th WONCA World Health Rural Conference (Speaker)

Primary Care and Rural Health Bangladesh (PCRHB), Bangladesh, 15 th -18 th April, 2020

Critical Obstetric Care (Transfusion protocol, use of anticoagulants, Labour and Delivery in ICU training Webcast conference ( Panelist)

FOGSI 26 th April, 2020

4 th Global Virtual summit featuring wizard of endoscopy

Indian association of Gynaecology Endoscopist 21 st June, 2020

Mid Life Health Issue (Panelist)

Mid life Health committee Online conference (Chairperson nominee) Amravati Obstetrics and Gynaecology Society, Amravati, 12 th August, 2020

Management of worst Obstetric emergencies, PPH Online workshop on “ PPH Management” ( Panelist)

Ghaziabad Obstetrics and Gynaecological Society 13 th August, 2020

Hypertensive DS of Pregnancy Online Conference on “Hypertensive Pregnancy” (Panelist)

Nagpur Obstetrics and Gynaecological Society, Nagpur, 18 th August, 2020

USG in Infertility E-conference on “USG in Infertility “The Third Eye” ( Guest lecture)

Revari Obstetrics and Gynaecological Society, Rewari, Haryana, 4 th Sept, 2020

Classic For Clinician - RH Incompatibility in Obstetrics

Classic for Clinician Webinar Series 2, 25th November, 2020

NHM-UNICEF-NQOCN Webinar on Management of Post Partum Haemorrhage With Bundle Approach -Management Of Mother And Newborn In Labour Room

NQOCN with support of UNICEF, 28th November, 2020

Family Integrated Care

NQOCN 14 th December, 2020

Gestational Diabetes – Early intervention key to best Outcome

Rewari Obst & Gynaec Society, 11th January, 2021

Virtual conference on High risk pregnancy, infertility and Gynaecologic

Pune Obstetric and Gynaecology Society, 5 th -7 th March, 2021

Appropriate Blood and Blood Product Transfusion Guidelines PPH- Prevent the Catastrophe Part -5

Association of Madhya Pradesh Obst & Gynae Society and Raipur Obst & Gynae society 9th March, 2021

Amenorrhoea - Clinician's Perspective 29 th Annual POGS Conference “REEDIFY 2021” (Panelist)

Organised by Pune Obstetrics and Gynaecological Society, Pune, 5 th -7 th March, 2021

Maternal Health Care Bundles Classic for Clinician Webinar Series

25th March, 2021

Case Presentation & Table Viva Orator- Respectful Maternity Care (Late Dr. Leela Dube Oration) Virtual PG Force-2021 Nagpur Obstetrics and Gynaecology (Faculty)

Organized by Dept of OBGY, NKP Salve Institute of Medical Sciences & Research Centre & Lata Mangeshkar Hospital, Nagpur in Association with Nagpur Obstetrics and Gynaecology Society, Nagpur 16 th -21 st March, 2021

PMNCH Call to action on COVID 19 Webinar on PMNCH Stratergry outline

WHO 30th March, 2021

Infertility E-conference on “Roll of USG in Pregnancy” ( Chief Guest) Rewari Obst & Gynaec Society Rewari, Haryana 4 th September, 2020

Unwanted Pregnancies in Adolescent Girl, Global Challenges For Safe Baby, Safe Childhood, Safe Motherhood, Safe Womenhood, Maternity Violence must stop. How?

Rural Tribal Elderly Women’s suffering in a low resource region

Workshop-How Can We Keep the Rural Workforce We Have?”: A

Workshop on Rural Workforce Retention

TUFH Network : Primary Health Care: A Path towards Social Justice-

System and Community Based response to Covid-19,

Mexico, 23 rd -25 th September,2020

"Partograph and its interpretation: Risk for mother and Newborn"

NQOCN for Madhya Pradesh 15 th September, 2020

Developing prospective authors from QI teams across India for preparing QI reports for publication in peer reviewed journals

NQOCN 27 th October, 2020

Checklist For Immediate Postpartum Vigilence- For Mother And Newborn

Nqocn 10 th December, 2020

The Nuances of Infertility Webinar on The Nuances of Infertility ( Chaired the Session)

Nagpur Obstetrics and Gynaecology Society, Nagpur, 23 rd December, 2020

Triaging and Emergency Management in Obstetrics emergency (Guest Speaker) Topic of Webinar- Respectful Maternity Care in Covid/ Non-Covid era: Pregnant Women deserves the Quality Care in any Situation

13th February, 2021

Post natal care – recent advances (Guest speaker) Topic of Webinar- Respectful Maternity Care in Covid/ Non-Covid era: Pregnant Women deserves the Quality Care in any Situation - Day 4

27th February, 2021

Infection Prevention Practices- Covid/ Non Covid Topic of Webinar- Respectful Maternity Care in Covid/ Non-Covid era:

Pregnant Women deserves the Quality Care in any Situation

31st March, 2021

Ophthalmology

Diabetic Retinopathy Screening by Teleophthalmology (Guest Speaker)

Annual Delhi Ophthalmic Society International Hybrid Conference of 19 th December, 2020

Enhancing Clincal Skills in Ophthalmology using OSCE’s (Guest Speaker)

Annual Delhi Ophthalmic Society International Hybrid Conference of 18 th December, 2020

Lens Induced Glaucoma

Annual Delhi Ophthalmic Society International Hybrid Conference of

19 th December, 2020

Tayde D , Shukla A K, Singh S, Sheikh A, Lilhare K

Correlation between ablation depth and change in corneal curvature after

LASIK surgery”

45 th Virtual Annual Conference VOS-VRCON 2020 of the Vidarbha Ophthalmic Society from 26 th & 27 th December, 2020

More A , Shukla A K, Singh S, Sheikh A, Bhosale N

Management of Diabetic Patients with Vision Threatening Diabetic

Retinopathy in Rural Vidarbha region”

Peddawad S , Shukla A K, Singh S, Sheikh A, Bhosale N

Screening for vitamin A deficiency in tribal Maharashtra (Melghat)”

Bhosale N , Shukla A K, Singh S, More A

Visual outcome after small incision cataract surgery (SICS) in diabetic and non-diabetic patients”

Rathi N , Singh S, Shukla A K, Tayde D

Corneal topographic patterns in myopic eyes”

Taneshwari S , Dhabarde A, Shukla A K, Pednekar N, Sarode K

Analysis of Causes of Protposis in a Rural Based Tertiary Care Hospital

Tejashree B , Shukla A K, Singh S, Bang P, Peddawad S

An Insight into the Burden of Concomitant Strabismus among Primary School Children in Central India”

Yadav V , Shukla A K, Singh S, Tayde D, Malwe G

A case of lid ptosis and total ophthalmoplegia Annual Delhi Ophthalmic

Society International Hybrid Conference of 18 th December, 2020

Study of change in contrast sensitivity and corneal aberration in eyes

undergoing LASIK (Laser in situ Keratomileusis)

Bhosale N , Shukla A K, Singh S, More A, Malwe G

Bilateral Optic neuropathy: a rare presentation of Systemic lupus erythematosus ( e Poster)

Rosai Dorfmann Disease of Orbit” ( e Poster)

A case of optic nerve head drusens mimicking optic disc oedema” ( e Poster)

Yadav V , Shukla A K, Singh S, Tayde D, Chauragade S

An unusual presentation of mucormycosis in a known diabetic 45 th Virtual

Annual Conference VOS-VRCON 2020 of the Vidarbha Ophthalmic Society from 26 th & 27 th December, 2020

CISP II Workshop (Convener and Resource Person)

28—29 August 2020 at MGIMS, Sevagram

Graduate Medical Education Regulation (2019) on 28 th August 2020

Alignment & Integration on 29 th August 2020

Skills training on 29 th August 2020

Panel discussion on the impact of the corona pandemic on medical

education in the country. ( Panelist )

The Indian Medical Association- Indian Medical Students Network and the Medical Students Association of India, 14 Jun 2020

Enhancing learner engagement in online sessions. (Guest speaker)

Medical Education Unit, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Nagpur, 27 May 2020

Case based learning in Pathology . (Resource person)

E-course on Competency based learning in Pathology. 6 May 2020

Online teaching learning: Modalities for student engagement. (Guest speaker)

Webinar by Indian Association of Public Health Dentistry, 16 May 2020

Anshu Attention please: Tips for enhancing learner engagement online. (Guest speaker)

Webinar organized by Academy of Health Professions Educators, 19 April 2020

MGIMS Sevagram's Village Adoption Scheme and Social Service Camp for medical students. (Guest speaker)

Organized by the Network Towards Unity for Health (TUFH) Social Accountability Institute. 14 Apr 2020

Enhancing student engagement in online teaching. (Guest speaker)

Medical Education Unit, MGIMS, Sevagram, 17 Aug 2020

Enhancing student engagement in online teaching: Tips and tools (Guest speaker)

Centre for Continuing Education and Inter professional Development (CCEID), Manipal Academy of Higher Education, 25 Jul 2020.

Effective strategies for online learning. (Resource person)

Personal and Professional Development Group of Melaka Manipal Medical College for Malaysian students of I MBBS, 11 Jul 2020

Should a pathologist be a jack of all trades or a master of one? (Debate,

Invited speaker)

Vidarbha Association of Pathologists and Microbiologists, Nagpur, 20 Dec 2020

Pharmacology

National Level e-poster competition

Dr. P.R. Pote Patil College of Pharmacy, Amravati, June 2020

Gorjelwar P

Transfusion-Related Adverse Reactions in patients admitted in medicine department at Tertiary Care Teaching Hospital of Central India

Virtually Online, IPCON 2021 Date: 25 Feb 2021

Gorjelwar P & Kale R

Poster presentation in National Level e poster competition on Proposed

treatment of Covid 19

PR Pote Patil College of Pharmacy, Amravati, 31 st May 2020

Singh Rajput A

To study the effect of wound healing activity of Musa Balbisiana Sp.peel as anti-inflamatory activity on wistar Rats

2 nd World Congress on infectious Disease & Antibiotics 2020

J.N. Tata Auditorium, Indian institute of Science, Bengluru, 17 th Oct 2020

Knowledge attitude and practice towards covid 19 among medical students: a questionnaire based study (Poster Presentation)

Asian ACPCON 2021 organised by American college of physician- india chapter supported by acp chapters, 6 th 7 th feb 2021

International Webinar on Cardiovascular & VO 2 Max Assessment”

AD Instruments, South East Asia, 9 Sep 2020

Webinar : IPS community psychiatry seminar “Healthy eating, under nutrition and obesity among Indian children and adolescent (Guest Speaker)

Organized by : Dr.KS Shubrata, 2 nd May 2020

Annual National CME of industrial Psychiatry of India “Mental Health Issues in IT Industry” Theme - Current and emerging mental health issues in different industries, on 12/12/2020 (Guest Speaker)

KK Mishra, Ahmed

Title – ‘Absenteeism in Health Care Industries’ (Award Paper)

18 th ANCAIPI” held at DY Patil, Pune on 4 th to 6 th March 2021.

“IK Mujawar Award Poster”

Annual Conference IPS West Zone 2 nd & 4 th Oct. 2020.(Webinar)

Radiotherapy

Palliative radiotherapy to triage patients for radical treatment in locally

advanced oral cavity cancer during COVID CRISIS’ Annual Conference of

Association of Radiation Oncologist of Maharashtra, 19 Dec 2020

Clinical outcomes of reirradiation of brain metastasis with erlotinib in

metastatic adenocarcinoma lung’ 10 th Annual Conference of Indian Society

for study of lung cancer, Association of Radiation Oncologist, 26 Sept 2020

Covid 19 a double edge sword for cancer patients’

The Federation of Obstetric & Gynecological Societies of India and POGS international Conference of Indian society for study of lung cancer, Association of Radiation Oncologist, 11 Dec 2020

Efficacy and outcomes of hypofractionation in locally advanced head and neck cancer’

Annual Conference of Association of Radiation Oncologist of India North zone, 2 Oct 2020

Evaluation of nasogastric tube feeding during radiotherapy in head and neck cancer patients’

Annual Conference of Association of Oncologist of North East India, 19 Jan 2021

Left Coronary Artery Dose Exposure Predicts Major Adverse Cardiac Events in Coronary Heart Disease Negative Lung Cancer Patients’

Best of ASTRO 2020, 15 Aug 2020

The Dutch Lung Cancer Audit-Radiotherapy (DLCA-R): Real-World Data on

Elderly Stage III Non-Small Cell Lung Cancer Treated with Definitive

Chemoradiation

Best of ASTRO 2020 16 Aug 2020

Changing Paradigm in Radiotherapy of Postmastectomy Breast Cancer patients A comparative study of 3DCRT vs IMRT : Dosimetry,Toxicity and Outcome at the end of 4 years’

Annual Conference of Indian Society of Medical and Paediatric Oncology, 6 Nov 2020

How to optimally utilize the waiting time/area of patients while they are in

waiting hall before their RT commences for the purpose of patient education 43rd Indian Cooperative Oncology Network Virtual Conference, 9 Oct 2020

Role of prophylactic nasogastric feeding tube to maintain nutrition during

radiotherapy in head and neck cancer patients” Virtual Symposium on

Nutrition in Cancer Care & Management of Mucositis to be held on Friday,

26th February 2021

Kale P, Kalbande P , Rangari P , Datta NR

An evaluation of cost-effective nutrition supplement using homemade recipes vs commercially available formulations in cancer patients on liquid diet from low-middle-income group countries”

Virtual Symposium on Nutrition in Cancer Care & Management of Mucositis to be held on Friday, 26th February 2021

Skin & VD

Puzzling papules on the neck: Cutaneous metastasis from the breast ( e-Poster)

49th National Conference of IADVL, 5th to 7th February, 2021

Patrick S , Kar S, Gangane N, Deshmukh A

Lepromatous Hansen’s disease simulating Still’s Disease: a parodying case

report with diagnostic conundrum (e-Poster)

Manwar P , Kar S, Sawant A, Patrick S, Nandwani S

Blaschkolinear Atrophoderma of Pasini and Pierni with shortening of foot –A

Rare Entity ( e-Poster)

Nandwani S , Kar S, Sawant A, Patrick S, Manwar P

Leprosy presenting as a diagnostic challenge in a case of HIV with Pulmonary Tuberculosis at a rural tertiary care hospital (e-Poster)

Approach to obstructive Jaundice (Guest Lecture)

ASICON-2020 (virtual) from 14 - 19 th Dec. 2020

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Journal of General Medicine

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• Review Article

Screening for Depression among Medicyation Overuse Headache Patients and Treatment Could Be Useful for Improving their Quality of Life

Ljubisavljevic Srdjan1,2*#, Todorovic Stefan1# and Djokovic Filip1

• Research Article

An Over View of Sterile Filtration Validation: A Key Elements for Sterile Drug Product Manufacturing

Prashant Khemariya1 *, Elango Minnoor2 , and Richa Khemariya3

Evaluating the Role of Intravenous Antihypertensive Agents in Falls of Hopitalized Patients

Edward Bergman1 , Courtney Armstrong2,3, and Charles F. Seifert3 *

Brief heat exposure and balance performance in older adults: a controlled trial

Beatriz Maria Trezza, Fábio Luiz Teixeira Gonçalves, Paulo Hilário Nascimento Saldiva, Wilson Jacob-Filho, Alexandre Leopold Busse*

Effect of splanchnic nerve transection on liver injury in dogs with acute necrotizing pancreatitis

Jun-Jun Sun*, Yang Gui, Cheng Yang, Yan-Hui Yang, Zhi-Jie Chu, Wei-Feng Liu, and Tian-Bao Yang

A Deep Neural Network Model of the Residency Rank Order List with and without Step 1 Scores

Jeffrey A. Summers

• Letter to the Editor

Asthma Exacerbation Associated to Glucosamine-Chondroidine Supplement

Flavia di Michele*

• Dec 15, 2018

Intractable Chronic Migraine in Adolescent: Multidisciplinary Approach

Luca Maria Messina*, Luigi Vetri, Lucia Rocchitelli, Flavia Drago, Laura Silvestri, Antonina D’Amico, Giovanni Grillo, Francesca Vanadia, Vincenzo Raieli*

• Oct 30, 2018

Quality Indicators in Home-Based Care: A Systematic Review

Nur Chayati M Kep*, Christantie Effendy and Ismail Setyopranoto

• Sep 14, 2018

Community Intervention- Teaching Cardiopulmonary Resuscitation in Two Schools in Madrid

Cristina Sicorschi Gutu*, Maria Jose Alarcon Gallardo and Marisela Roure Vasquez

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• v.36(12); 2021 Dec

The Oral Case Presentation: Time for a “Refresh”

Rebecca rodin.

1 Department of Medicine, University of Toronto, Toronto, Ontario Canada

Sagar Rohailla

2 Department of Medicine, North York General Hospital, Toronto, Ontario Canada

Allan S. Detsky

3 Institute of Health Policy, Management and Evaluation and Department of Medicine, University of Toronto, Toronto, Ontario Canada

4 Department of Medicine, Sinai Health System, Toronto, Ontario Canada

Associated Data

Despite enormous changes in medicine over the last 50 years, the oral presentation of newly admitted patients remains a core activity in academic teaching hospitals. With increased pace and complexity of care, it is time to refresh this tradition, as its efficiency and utility in contemporary practice are open to question. In this paper, we suggest a revised structure to help presenters organize their thoughts before the oral presentation and provide an online tool for doing so. We then offer tips on how to present the facts and inferences to the team in a compelling and memorable fashion; how to tell a story. Organizing information and oral presentation are advanced skills that require repeated practice to learn.

Supplementary Information

The online version contains supplementary material available at 10.1007/s11606-021-06964-6.

General internal medicine inpatient units in North American academic medical centers feature routines that reflect the team hierarchy and workflow of patient care. Resident physicians and medical students gather data about patients they admit to the hospital, and present that information, their inferences, and plans to the other members of the team including the attending physician, who also uses that opportunity to evaluate the learners’ clinical skills. The purpose of this oral case presentation is to transmit a mental image of a patient’s story (including diagnostic possibilities and treatment plans) from the speaker to the listeners using a story-telling technique. 1 The story features several main components: identifying demographics (the protagonist); chief complaint and history of presenting illness (the plot); past medical, social, and family history (the context); physical examination and test results (rising or falling action); and summary assessment and diagnostic and treatment plan (resolution).

Medical students are taught at a rudimentary stage to be thorough when gathering the data about their patient—to leave no stone unturned. This tradition dates back more than a century, 2 and while some aspects of the process have evolved over time, learners are still encouraged to explore an exhaustive and detailed list of positive and negative findings. 3 – 5 Learners are then encouraged to display their thoroughness by reciting all of these details during their oral presentations, in part to transmit the data, and in part to show they gathered it. While such traditions have nostalgic appeal, their efficiency and utility in contemporary practice are open to question.

In the modern era, patient volumes and acuity are high, and many more and different physicians participate in the care of individual patients 6 —the pace of medicine is faster. Time constraints require effective and efficient communication to ensure that the mental image of each patient is successfully transmitted with information that is sufficient but not overwhelming. There is therefore an urgent need to modify the structure of the traditional oral case presentation for new patients to better suit this evolving landscape of chaos and cacophony. 6 , 7 In this paper, we first suggest a revised structure to help presenters organize their thoughts before the oral presentation and provide an online tool for doing so. We then offer tips on how to present the facts and inferences to the team in a compelling and memorable fashion. The process we describe here takes place between the time the consultation or admission note is written and the patient is presented to the rest of the team. This preparation technique can be used for either bedside or classroom presentations.

TEMPLATE FOR ORGANIZING INFORMATION BEFORE THE PRESENTATION

Learners should be instructed to complete this form ( accessed here ; Fig. ​ Fig.1) 1 ) for each patient they admit to hospital. We suggest providing paper or electronic copies delivered from and to Health Insurance Portability and Accountability Act (HIPPA)–complying email addresses to each team member at the time of the oral presentation as a visual and cognitive aid. Although some might argue that visual aids may take away from the story tellers’ ability to captivate their audiences, we find that listeners often get distracted, so the visual aid helps to bring them back. This fillable template comprises a series of nudges that cue the presenter to share information that listeners need to know about each patient (Table ​ (Table1). 1 ). It differs from the way the story is told orally, with some of the information left unspoken (hence the need for providing copies).

New patient template.

Cognitive Nudges for the Oral Case Presentation

The top of the form designates two content areas that are commonly overlooked by trainees: (1) patient identification, contact, and insurance information; (2) names of prior treating physicians: primary care physician, specialists relevant to the current issue, and referring physician. Gathering these names enables other members of the team to communicate with any of these physicians to learn more about the patient, discuss their treatments, provide updates in real time, and secure follow-up upon discharge. Verbal confirmation of contact information from the patient or family member is essential to ensure that follow-up care occurs—we have all experienced the frustration of trying to arrange care when the documented phone number turns out to be incorrect.

The form’s medication section uses the following subheadings: new medications, changed medications (i.e., dose or frequency changes to existing medications), stable cardiac medications, stable respiratory medications, and other medications (e.g., diabetes drugs, analgesics). This format differs from the typical presentation of patient medications, which is often loosely organized by system or disease (e.g., cardiac drugs first, respiratory drugs second, diabetes drugs third, analgesics fourth). While systematic, that approach may make new or changed medications easy to miss. Our structure helps to identify drug-related complications and toxicity, which account for approximately 15% of all hospital admissions, a proportion that grows with increasing age, comorbidity, and polypharmacy. 8 Drawing attention to the “new” and “changed” categories on the admission template helps to ensure that the presenter and the receiving team consider these as possible causes of a patient’s presentation to hospital.

The next section of the admission template comprises the main narrative, organized into 10 “focal findings” that best summarize the patient’s story. This task requires the presenter to reflect and synthesize information, particularly in complex cases, from the history, physical exam, and investigations. The first focal finding of every case should always be the identifying demographics: age, sex, gender, and whence the patient came (e.g., home, another hospital, long-term care, shelter).

The second focal finding should be the chief concern—the patient’s reason for coming to hospital in their own stated words. In reporting this finding during the oral presentation, the presenter should be explicit in describing the reason for the patient’s transition from where they were (e.g., home) to where they are now (i.e., the hospital). Identifying both the primary symptom of the patient and the trigger for coming to hospital focusses the listener on why the patient is under their care. For example, a patient with abdominal pain for a few weeks may have decided to come to hospital only when becoming unable to tolerate oral intake—raising important diagnostic considerations, such as bowel obstruction or acute kidney injury.

Following the identifying demographics and chief concern, the presenter has 8 focal findings left to describe the rest of the story. These may be anything from the patient’s history (including social context), physical examination, test results, or previous opinions from other clinicians that are relevant to the current presentation. Clustering related information together into a single focal finding can assist with efficiency in conceptualizing the patient’s story and disease processes. For example, “hepatitis B ➔ cirrhosis ➔ hepatic encephalopathy” could be listed as one focal finding and “alcohol use disorder ➔ prior withdrawal seizure ➔ last drink 48 hours ago” as another. Each focal finding should contain unique and relevant information for the listener to shape their mental image of the patient and to flag important issues. For example, penicillin allergy could be a clinically relevant focal finding for a patient presenting with fever, cough, and consolidation on chest x-ray, when antibiotic therapy may be considered. Such focal findings are communicated on the form not merely for the sake of documentation, but to stimulate a process of thinking about all the facts and findings of the case. Identifying which among them are important to understanding the cause and goals of this hospital visit helps to organize information in a way that tells a concise and coherent story about the patient.

The most important thing to note is that filling out the form is not about the writing, it is about the thinking: do not just write down all the facts again, write just a few words to evoke the key facts. It is worth noting that these steps, both the clustering of data into one finding and selection of the 10 most important findings, are advanced skills; they will take time and repeated practice to learn.

THE ORAL PRESENTATION: HOW TO TELL A COMPELLING STORY

The oral presentation of the story from the ten focal findings can still follow the traditional outline. But we offer the following advice to make it compelling. After stating the identifying information and chief concern, some learners have been taught to give the past medical history in detail. Doing so frustrates the listeners; they want to know why the patient is here now! So while you can list the bullet points of the past history that are relevant to the story first, get to the “history of present illness” (HPI) as soon as possible. One way of signaling the sections of the story is to begin the HPI by saying, “The patient was last well (or in their usual state of health) X days ago, when she noticed the onset of….” This phrase gives the listener the temporal context (like “once upon a time”) which is always an important feature of their story.

Beginning the physical exam section should start with the general inspection. 9 The following phrase is useful here: “When I walked into the room, I saw an X-year-old person who looked….” 9 This cue allows the listener to generate a visual image and often forecasts the end of the story—the diagnosis, treatment, or disposition plan. The remaining physical examination and laboratory findings should be communicated as concisely as possible. Stating, for example, that there were “no peripheral stigmata of infective endocarditis,” can be more effective than listing, “there were no Osler nodes, no Janeway lesions, no splinter hemorrhages, no petechiae” in a patient with fever and new heart murmur. By recording the medications on the form, the presenter does not have to state them if they are not a key part of the story—let the team read them without speaking them. Similarly, there is no need to restate all the blood tests and imaging interpretations; just list the important ones in the template and let the audience ask for others if they need to. Again, doing so is an acquired skill; novices will need to learn it.

SUMMARY, INFERENCES, AND PLANS

The final portion of the oral presentation is the summary, inferred diagnoses, and plans for further tests and treatment, which are reflected in the second half of the admission template form. It is essential, but often challenging, for presenting trainees to commit themselves to their leading diagnostic hypotheses and to explain their reasoning. The admission template facilitates this process by providing a previously published matrix with organ systems on side (e.g., cardiovascular, respiratory, integumentary, hematologic) and etiologies across the top (e.g., infectious, neoplastic, vascular, autoimmune, toxic/metabolic/endocrine). 10 Balanced and critical thinking are required to avoid being led astray in the grand search for unlikely or rare diagnoses, on the one hand, or coming to premature diagnostic closure, on the other. While this matrix has many cells, the purpose is to make the learner commit to the top 2 or 3 diagnoses which can be presented in order of descending probability. And the plan can be limited to the key steps of the patient’s management; the detailed order list can be reviewed after discussion with the team. Of course, the team may well broaden the inferences and plans beyond those listed on the template during and after the oral presentation; but that is the point of learning from patients. An example of a patient story with a completed template is available in the Supplementary Materials as a reference guide.

Organizing thoughts with this template before presenting the story orally may be of particular value to trainees who are learning to perform this skill early in their career. They may also benefit from rehearsing before presenting to the entire team, recording their presentations, and listening back to them to better hone their skills.

The oral case presentation is an art and a skill that has endured through the technological transformation of medicine and takes practice to master. Its most important function is for listeners to absorb key information to determine if the inferences and plans need modification. It is also a stressful experience for early learners because the stakes are high if the information is wrong and because it is one of the key times that they can showcase their critical thinking. While there are many other methods of evaluating learners, we contend that oral presentations dominate the impression they make on their teachers.

We have provided a series of cognitive nudges, in the form of an online tool, and advice about how to tell the story that supports developing presentation skills by cuing both presenters and listeners to think about the salient points in the patient’s story. This process does involve an extra step, and therefore more work. But we believe that especially for early learners (medical students and first year residents), this additional work on the part of the presenter reduces the work and mental energy expended by the listeners in a way that improves overall efficiency. Modifying the ritual of the oral case presentation to meet the demands of modern medicine can help to ensure that information is successfully transmitted. Future work might include ways to incorporate this framework into the electronic medical record or billing processes. For now, we will settle for improving the way we tell each other our patients’ stories.

(PDF 197 kb)

Acknowledgements

We thank Gurpreet Dhaliwal (University of California San Francisco) and Patrick D. Clarke (University of Vermont Medical School) for providing valuable comments on an earlier draft. He was not compensated for doing so.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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List of 200+ Healthcare & Medical Presentation Topics

This is a comprehensive list of more than 200 healthcare and Medical Presentation Topics is useful for Powerpoint PPT & Paper Presentations. These topics can be used for webinars, Seminars, conferences, oral presentations, speeches and classroom presentations

Students of MBBS, BAMS, BHMS, B Pharmacy, D Pharmacy, M Pharmacy, Bio-Technology and other medical and healthcare streams can get the benefit of this list of medical presentation topics.

Below is the list of Healthcare & Medical Topics for Presentation.

Abdominal Trauma

Abuse and Neglect

Adult Day Care

Ageing/Geriatrics

Air and community health

Airway Management and Ventilation

Allergies – Anaphylaxis

Alzheimer’s Disease

Ambulance Operations

Artificial respiration

Analysis of qualitative data

Analysis of quantitative data and approaching the families in Community

Attention Deficit Disorder

Aquatic Therapy

Assessment-Based Management

Autonomic nervous system & Peripheral nervous system

Behavioural sciences & their relevance to Community Health

Babysitting

Bacterial Vaginosis

Behavioural and Psychiatric Disorders

Biochemical characteristics of cancer

Biosimulation

Bio-statistics in Health

Bioterrorism – WMD

Birth Control for Moms

Blood Borne Pathogens

Breast Cancer

Breastfeeding & weaning & Baby-Friendly Hospitals Breastfeeding promotion

Cancer/Radiation Therapy

Cardiovascular system

Case-Control Studies

Cataract Surgery

Causation & association

Central nervous system

Childhood Obesity

Children’s Health

Cholesterol

Clinical forensic medicine

Clinical Decision Making

Cohort studies

Collection of data – sampling methods, the sample size

Collection of vital statistics in the community

Commonwealth Health Corporation

Commonwealth Health Foundation

Commonwealth Health Free Clinic

Communications

Community organization in rural and urban areas – community participation

Concepts in Community Health

Creatinine Blood Test

Crime Scene Awareness

Cross-Sectional Anatomy

Culture, habits, customs and community health

Customised treatments

Deep Vein Thrombosis Awareness

Demographic trends in India.

Designing interview schedules – KABP studies

DNA repair mechanisms and related disorders

DNA Replication,

DNA Sequencing for Routine Checkups

DNA Transcription

Documentation

Drive-Thru Clinics

Ears, Nose and Throat Disorders

EMS Systems Roles and Responsibilities

Endocrine System and Individual Endocrine Glands

Endocrinology

Endoscopic Ultrasound: New Diagnostic and Therapeutic Applications

Environment and community health

Environmental toxicology

Environmental Conditions

Epidemiology as a tool for community health

Expanding Surgical Options for Lung Cancer Treatments

Eye banking & ethics in ophthalmology

Family and its role in health and disease

Family planning methods: permanent methods

Family planning methods: spacing methods

The fate of the antigen-antibody complex

Fertility & fertility-related statistics

Fitness/Exercise

Food habits, customs related to pregnancy, childbirth & lactation

Food Hygiene, Food Adulteration & Food poisoning

Forensic medicine & toxicology

Forensic psychiatry

Gastroenterology

Gastrointestinal System

Genetic Engineering: Recombinant DNA technology

Gynaecology

Hazardous Materials Incidents

Head – Facial Trauma

Health care of special groups: Adolescents & School Children

Health Education Tools & Audio-visual aids

Health hazards faced by agricultural workers

Health Planning in India

Health problem associated with urbanization & industrialization

Health seeking behaviour – barriers to health

The health situation in India

Healthcare Careers

Healthy Lifestyle

Heart Attacks in Women

Heart Disease

Heart Disease & Stroke Risk Factors

Haematology

Haemorrhage and Shock

Haemorrhoids

High Blood Pressure

High-risk strategy & risk factors in pregnancy & childbirth

Histology of various organs/organ systems

History of The Medical Center

History Taking

Home Health Care

Home Medical Equipment

Hospitals at home

Human sexuality; sex and marriage counselling

Hybrid Approach to Coronary Artery Disease

Hypothermia and its clinical applications

IEC & Health Education Strategies

Illness and Injury Prevention

Immunization for international travel

Indoor environment and health

Industrial toxic exposures

Infant & Child Mortality

Infant Care (Safety, CPR, Birth)

Infectious Diseases

Infectious – Communicable Diseases

Introduction to Maternal & Child Health

Jet-Set & Suture

Joint Replacement

Kidney Failure

LASIK (Eye Procedure)

Life tables and life table techniques for evaluation of family planning methods

Life Span Development

Manage Kids’ Diabetes

Massage Therapy

Measurement of Nutritional Status of Community

Introduction to Family Health Advisory Service

Measuring the burden of disease in the community

Measuring vital events in the community

Medical Equipment

Medical Ethics:

Medical Incident Command

Medical jurisprudence

Medical/Legal Issues

Medication Errors/Drug Interactions

Medico-social problems, beliefs and practices related to acute and chronic diseases

Memory enhancement

Men’s Health

Multiple Sclerosis

Musculoskeletal Trauma

Nanorobotics

National Family Welfare Programme – 2;

National Family Welfare Programme – I

National health programmes for the control of communicable/non-communicable diseases

National Population Policy

A natural history of disease and levels of prevention

Neonatology

Neuro Anatomy

Neuromuscular transmission

The normal distribution, Bi-nominal distribution & poison Distribution

Nuclear Medicine (PET Imaging and Radiation Safety)

Nutrition Programmes in India

Nutritional requirements & sources

Osteoporosis

Parenting an ADHD Child

Pathophysiology

Patient Assessment

Patients with Special Challenges

Paediatrics

Pharmacology

Physiological effects of yoga

Planning & Evaluation of Health Education Programmes

Pneumoconiosis

Preserving Fertility in Cancer Survivors

Prevention of occupational diseases & ESI

Principles of bioelectricity

Probabilities and conditional probabilities

Prostate Cancer: Should We Be Screening?

Protein-energy malnutrition, growth monitoring & promotion

Pulmonary Emergency

Reproductive and Child Health Programme

Rescue Awareness and Operations

Review of the Human Body

Rheumatoid Arthritis

Road Traffic Accidents

Senior Health

Sleep and Pulmonary Disorders

Sleep is the new sex

Socio-economic measurement status and its role in community health

Soft Tissue Trauma

Special Sensory Organs

Spinal Trauma

Spirituality & Health

Sports Injuries and Treatment

Stereotactic Body Radiation Therapy Offers Option to High-Risk Surgery Patients

Stress Management

Stroke/Aneurysms

Survey methods and interview techniques in community Health

Techniques of Physical Examination

Testicular & Prostate Cancer

Tests of significance of statistical hypothesis

The next pandemic

The yogic practices

The Well-Being of the Paramedic

Therapeutic Communications

Thoracic Trauma

Trauma Systems and Mechanism of Injury

Vaccines for All Ages

Varicose Veins

Vascular Disease/Surgery

Venous Access and Medication Administration

Waste disposal

Water and community health

When to Call 911

Women’s Health

Work Injury Management

Working environment and community health

Worksite Wellness

Xenobiotics

Yoga in health and disease

Hope this list of healthcare and medical presentation topics will help you prepare stunning presentations for school, college and other power-point presentations.

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Presenting cases in front of patients: implications for a key medical education genre

• Published: 02 April 2022
• Volume 27 , pages 621–643, ( 2022 )

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• Anneke van Enk   ORCID: orcid.org/0000-0002-0185-023X 1 ,
• Laura Nimmon 2 ,
• Heather Buckley 2 ,
• Cary Cuncic 2 ,
• Carolyn Canfield 2 ,
• Kiran Veerapen 2 &
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“Now, don’t worry. This is nothing whatever to do with you.” (Chief surgeon Dr. Lancelott Spratt to a bedridden patient being discussed during teaching rounds in the 1954 film Doctor in the House)

Case presentations have been researched as both an important form of intra/inter-professional communication, where a patient’s clinical information is shared among health professionals involved in their care, and an equally key discursive tool in education, where learners independently assess a patient and present the case to their preceptor and/or care team. But what happens to the case presentation, a genre that governs physician (and learner) talk about patients, when it is used in patients’ presence? While they were commonly used at the bedside in the past, case presentations today are more commonly performed in hallways or conference rooms, out of patient earshot. This paper draws on interview data from a study involving patient-present case presentations in a medical education setting. Our analysis asks what participants’ metageneric comments about the encounter can teach us about the genre, about patient involvement in medical education, and about linguistic adaptations to the genre that the profession might make to support patient involvement.

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Notes Key foundational texts include Bakhtin’s “The Problem of Speech Genres” ( 1986 ) and Miller’s “Genre as Social Action” (1984). For a useful introduction and overview, see Bawarshi & Reiff ( 2010 ).

Examples of guidelines abound (see, for example, Dell et al., 2012 ; Goldberg, 2009 ; Nikakhtar, n.d.) and usually require the inclusion of identifying information/chief complaint, history of present illness (HPI), social history, physical examination findings, and assessment and plan.

In Goffman’s ( 1959 ) theory, face reflects the way in which an individual wants to be perceived by the outside world.

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Acknowledgements

The Patient in the Learning Environment Study, from which this analysis drew its data, was generously supported by the Royal College/AMS CanMEDS Research Development Grant, Reference Number 19/AMS-01.

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Anneke van Enk

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Laura Nimmon, Heather Buckley, Cary Cuncic, Carolyn Canfield, Kiran Veerapen & Cheryl Holmes

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van Enk, A., Nimmon, L., Buckley, H. et al. Presenting cases in front of patients: implications for a key medical education genre. Adv in Health Sci Educ 27 , 621–643 (2022). https://doi.org/10.1007/s10459-022-10105-x

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Received : 15 April 2021

Accepted : 12 February 2022

Published : 02 April 2022

Issue Date : August 2022

DOI : https://doi.org/10.1007/s10459-022-10105-x

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