Future Doctor Ccc

FUTURE DOCTORS™ CLINICAL CASE CONFERENCE GENERAL GUIDELINES FOR LONG CASE PRESENTATION 1. A team shall comprise of 1 or 2 members. 2. A maximum of 20 min is allocated for each case presentation. 3. An additional 10 min is allocated for Q&A. Presenters should accept a minimum of 2 questions from the floor. 4. Presentation of case shall include: I. PRESENTATION OF HISTORY II. SUBJECTIVE SYSTEM REVIEW III. PHYSICAL EXAMINATION IV. PRELIMINARY DIAGNOSIS WITH SUBSTANTIATION. V. DIFFERENTIAL DIAGNOSIS VI. INVESTIGATIONS VII. FINAL DIAGNOSIS WITH SUBSTANTIATION VIII. PRINCIPLES OF TREATMENT & MANAGEMENT 5. Presentations can be presented either using PowerPoint presentation or viva voce. A suggested approach*:  Begin with a sentence that informs something about the patient and the clinical problem. E.g. Mr. X is a 50 year old accountant who presents with 2 hour of chest pain that is not typically ischemic.  Then, describe the details of presenting complaint.  Once the presenting complaint has been described, anamnesis morbi and relevant anamnesis vitae (risk factors determination) should be discussed. In patient with chest pain, this includes any previous cardiac history or investigations and a summary of risk factors for IHD. Present also a list of the patient’s current medication.  Physical examination presentation.  Offer the most likely diagnosis and differentials.  Suggest a plan of investigation and treatment. “By the end of this presentation, the audience should know what you think is wrong with the patient and what you intend to do about it.” 6. Presenters are encouraged to use visual aids, pictures, video, etc to complement the case presentations. (E.g. Pictures of ECG, X-ray, Blood Analysis, etc.) 7. Recommended reference materials: a. Malaysian MOH Clinical Practice Guidelines. (http://www.moh.gov.my) b. National Institute of Health and Clinical Excellence (NICE) Guidelines. (http://www.nice.org.uk/ ) c. Other reliable sources preferably national clinical guidelines or reliable reference materials (Please state source of reference) TIPS: When looking for medical information online, look out for this symbol for medical information that you can trust. Search for http://www.hon.ch/ for more information. *Adapted from Clinical Examination: A systematic guide to physical diagnosis 5th Edition, Nicholas J Talley & Simon O’Connor. Reference made to Clinico-Pathological Conference, John Hopkins Hospital 2009.