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El. knyga: Presenting Your Case: A Concise Guide for Medical Students

  • Formatas: EPUB+DRM
  • Išleidimo metai: 29-Apr-2019
  • Leidėjas: Springer Nature Switzerland AG
  • Kalba: eng
  • ISBN-13: 9783030137922
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Presenting Your Case: A Concise Guide for Medical StudentsDidesnis paveikslėlis
  • Formatas: EPUB+DRM
  • Išleidimo metai: 29-Apr-2019
  • Leidėjas: Springer Nature Switzerland AG
  • Kalba: eng
  • ISBN-13: 9783030137922
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Medical students often struggle when presenting new patients to the attending physicians on the ward. Case presentation is either poorly taught or not taught at all in the first two years of medical school. As a result, students are thrust into the spotlight with only sketchy ideas about how to present, prioritize, edit, and focus their case presentations. They also struggle with producing a broad differential diagnosis and defending their leading diagnosis. This text provides a comprehensive guide to give well-prepared, focused and concise presentations. It also allows students to discuss differential diagnosis, incorporate high-value care, educate their colleagues, and participate actively in the care of their patients. 

Linking in-depth discussion of the oral presentation with differential diagnosis and high value care, Presenting Your Case  is a valuable resource for medical students, clerkship directors and others who educate students on the wards and in the clinic. 


Recenzijos

This is a wellwritten and tothepoint guide for medical students as they enter into their clinical training. It provides very practical advice on how to excel during these important years in their training. It is even entertaining at times, due to the numerous anecdotes and experiences the author recounts. Following the prescription for success in this guide is a sure way for medical students to stand out in their clerkship training. (Wei Xiong, Doody's Book Reviews, August 23, 2019)

1 The Importance of a Good Case Presentation and Why Students Struggle with It
1(8)
Morning Rounds
1(3)
Why Students Struggle
4(4)
References
8(1)
2 Organization of the Oral Case Presentation
9(14)
The Admission H&P Versus the Oral Case Presentation
9(4)
The History of Present Illness (HPI)
13(1)
Past Medical History and Past Surgical History
14(1)
Medications
15(1)
Allergies
15(1)
Family History
15(1)
Social History
16(1)
Review of Systems
17(1)
Physical Exam
17(2)
Laboratory Tests and Imaging Results
19(1)
The Assessment and Plan
20(2)
References
22(1)
3 Variations on the Oral Case Presentation
23(16)
Night Float Admissions
23(1)
Transfer Admissions
24(2)
Bedside Presentations
26(1)
The Daily Soap Presentation on Rounds
27(2)
Calling a Consultant
29(1)
The Emergency Room Presentation
30(2)
The Outpatient Clinic Presentation
32(3)
The SNAPPS Presentation
35(2)
References
37(2)
4 The HPI: A Timeline, Not a Time Machine
39(18)
The Timeline, from Hippocrates to Lawrence Weed
39(4)
Case Reports and the Importance of the Timeline
43(3)
The Timeline as "Origin Story" for the Chief Complaint
46(5)
The Clinical Flow Sheet
51(3)
Seven Keys to Presenting the HPI
54(1)
References
55(2)
5 Pertinent Positives and Negatives
57(16)
The Role of Pertinent Positives and Negatives in the Oral Presentation
57(1)
Learning the Pertinent Positives
58(1)
Cases with Pertinent Positives and Negatives
59(9)
Case 1 Chest Pain
59(2)
Case 2 Chest Pain
61(3)
Case 3 Abdominal Pain
64(2)
Case 4 Chronic Headache
66(2)
The Dog that Didn't Bark
68(2)
Pertinent Positives and Negatives: Six Suggestions
70(1)
References
71(2)
6 The Diagnostic Power of Description
73(10)
The Art of Description
73(2)
Diagnosis Through Description
75(3)
More Examples: Sketchy Depictions Versus Deep Descriptions
78(3)
Knee Pain
78(1)
Hip Pain
79(1)
Prostate Symptoms
79(1)
Groin Pain and Bulging
80(1)
Rash
80(1)
References
81(2)
7 The Assessment and Plan
83(16)
Elements of the Assessment and Plan
83(2)
Let Us Know What You're Thinking
85(8)
Assessment: Beyond Diagnosis
93(2)
The Evidence-Infused Assessment
95(1)
References
96(3)
8 Approaches to Differential Diagnosis
99(20)
Active Diagnosis: Hypothesis Testing in Real Time
99(2)
Diagnostic Theories, Principles, and Caveats
101(9)
Occam's Razor
101(1)
Hickam's Dictum
102(1)
The Law of Sigma
103(3)
Post Hoc Ergo Propter Hoc
106(1)
Heuristics
106(1)
Heuristic Failures and Diagnostic Biases
107(3)
The Key Findings Approach to Differential Diagnosis
110(3)
Using the Key Findings Approach in a Complex Case
113(3)
References
116(3)
9 Searching and Citing the Literature
119(8)
Using the Literature Search to Optimize Patient Care
119(2)
How to Search the Literature
121(3)
Discussing the Literature on Rounds
124(1)
References
125(2)
10 Adding Value to the Oral Presentation
127(18)
The Importance of High-Value Care
127(1)
Ten Reasons for Overuse
128(1)
Changing the Culture with High-Value Care
129(2)
SOAP-V: Adding Value to the Oral Presentation
131(3)
When to Discuss Value
134(1)
How to Discuss Value
135(1)
Soap-V Practice Cases
136(7)
Case 1
137(1)
Case 2
138(1)
Answers for SOAP-V Practice Cases
138(5)
References
143(2)
11 Teaching Rounds: Speaking Up, Getting Involved, and Learning to Accept Uncertainty
145(10)
Teaching Rounds: The Student's Role
145(4)
Teaching Decisiveness: A Paradox in Medical Education
149(4)
References
153(2)
12 On Pimping
155(12)
What Is Pimping?
155(2)
"Socrates Was Not a Pimp"
157(3)
The Pimper Phenotype
160(1)
Pimping the Pimper: The Art of Pimping Back
161(2)
In Defense of Pimping
163(1)
How to Respond to Pimping
164(1)
References
165(2)
13 The Art of the 5-Minute Talk
167(10)
How to Become a "Student-Educator"
167(9)
Narrow the Scope
168(2)
Dig Deep
170(1)
Cite Key Studies
171(1)
Write an Outline
172(2)
Keep It Relevant to Patient Care
174(1)
Summarize Your Findings in a One-Page Handout
175(1)
References
176(1)
14 Future Directions of the Oral Case Presentation
177(10)
New Technologies at the Bedside
177(2)
Three Ways to Look at an Ambiguous Case
179(1)
Traditional Assessment and Plan, 2019
180(1)
Technology-Enhanced Assessment and Plan, 2019
181(2)
Assessment and Plan for the Same Patient, c. 2029
183(2)
References
185(2)
Author Index 187(2)
Subject Index 189
Clifford D. Packer, MD





Professor of Medicine





Department of Medicine





Case Western Reserve University School of Medicine





Louis Stokes Cleveland VA Medical Center





Cleveland, OH, USA       
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