Expectations for Oral Case Presentations for Clinical Clerks: Opinions of Internal Medicine Clerkship Directors

BACKGROUNDLittle is known about the expectations of undergraduate internal medicine educators for oral case presentations (OCPs).OBJECTIVEWe surveyed undergraduate internal medicine educational leaders to determine the degree to which they share the same expectations for oral case presentations.SUBJECTSParticipants were institutional members of the Clerkship Directors of Internal Medicine (CDIM).DESIGNWe included 20 questions relating to the OCP within the CDIM annual survey of its institutional members. We asked about the relative importance of specific attributes in a third-year medical student OCP of a new patient as well as its expected length. Percentage of respondents rating attributes as “very important” were compared using chi-squared analysis.RESULTSSurvey response rate was 82/110 (75%). Some attributes were more often considered very important than others (p < .001). Eight items, including aspects of the history of present illness, organization, a directed physical exam, and a prioritized assessment and plan focused on the most important problems, were rated as very important by >50% of respondents. Respondents expected the OCP to last a median of 7 minutes.CONCLUSIONSUndergraduate internal medicine education leaders from a geographically diverse group of North American medical schools share common expectations for OCPs which can guide instruction and evaluation of this skill.

[1]  E. Bass,et al.  National survey of Clerkship Directors in Internal Medicine on the competencies that should be addressed in the medicine core clerkship. , 1997, The American journal of medicine.

[2]  Eric H. Green,et al.  Developing and Implementing Universal Guidelines for Oral Patient Presentation Skills , 2005, Teaching and learning in medicine.

[3]  D. Elliot,et al.  How do faculty evaluate students' case presentations? , 1997, Teaching and learning in medicine.

[4]  Judy A. Shea,et al.  A randomized-controlled study of encounter cards to improve oral case presentation skills of medical students , 2005, Journal of General Internal Medicine.

[5]  L. Lingard,et al.  Learning oral presentation skills: a rhetorical analysis with pedagogical and professional implications. , 2001, Journal of general internal medicine.

[6]  Daniel R Wolpaw,et al.  SNAPPS: A Learner-centered Model for Outpatient Education , 2003, Academic medicine : journal of the Association of American Medical Colleges.

[7]  USING CLINICAL REASONING TO IMPROVE SKILLS IN ORAL CASE PRESENTATION , 2002 .

[8]  Jeff Wiese,et al.  Improving oral presentation skills with a clinical reasoning curriculum: a prospective controlled study. , 2002, The American journal of medicine.

[9]  K. Kroenke The case presentation. Stumbling blocks and stepping stones. , 1985, The American journal of medicine.

[10]  L. Lingard,et al.  What do we mean by "relevance"? A clinical and rhetorical definition with implications for teaching and learning the case-presentation format. , 1999, Academic medicine : journal of the Association of American Medical Colleges.

[11]  L. Pangaro,et al.  A new vocabulary and other innovations for improving descriptive in-training evaluations. , 1999, Academic medicine : journal of the Association of American Medical Colleges.

[12]  Mahzarin R. Banaji,et al.  Implicit Bias among Physicians and its Prediction of Thrombolysis Decisions for Black and White Patients , 2007, Journal of General Internal Medicine.