Abstract
BACKGROUND
Little is known about the expectations of undergraduate internal medicine educators for oral case presentations (OCPs).
OBJECTIVE
We surveyed undergraduate internal medicine educational leaders to determine the degree to which they share the same expectations for oral case presentations.
SUBJECTS
Participants were institutional members of the Clerkship Directors of Internal Medicine (CDIM).
DESIGN
We 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.
RESULTS
Survey 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.
CONCLUSIONS
Undergraduate 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.
References
Goroll AH, Morrison G. Core Medicine Clerkship Guide: A Cooperative Project of the Society of General Internal Medicine and the Clerkship Directors in Internal Medicine. 2Washington, D.C.: Health Resource and Services Administration; 1998.
Manual of Surgical Objectives. 4th ed: The Association for Surgical Education; 1998.
Outcome Project: Enhancing Residency Education Through Outcomes Assessment: Competencies available at http://www.acgme.org/outcome/comp/compFull.asp Accessed June 3, 2003.
Bass EB, Fortin AE, Morrison G, Wills S, Mumford L, Gorrol AH. National survey of clerkship directors in internal medicine on the core competencies that should be addressed in the medicine core clerkship. Am J Med. 1997;102:564–71.
Haber RJ, Lingard LA. Learning oral presentation skills: a rhetorical analysis with pedagogical and professional implications. J Gen Intern Med. 2001;16:308–14.
Kroenke K. The case presentation: stumbling blocks and stepping stones. Am J Med. 1985;79:605.
Wiese J, Saint S, Tierney LM. Using clinical reasoning to improve skills in oral case presentation. Semin Med Pract. 2002;5:29–36.
Lingard LA, Haber RJ. What do we mean by "relevance?" A clinical and rhetorical definition with implications for teaching and learning the case-presentation format. Acad Med. 1999;74SuppS124–7.
Green EH, Hershman W, DeCherrie L, Greenwald J, Torres-Finnerty N, Wahi-Gururaj S. Developing and implementing universal guidelines for oral patient presentation skills. Teach Learn Med. 2005;17:263–7.
Green EH. Making SOAPS SAFER: A Model for Teaching and Evaluating Oral Case Presentation available at http://www.pogoe.org/downloadables/18900_2.doc Accessed August 28, 2007.
Wolpaw TM, Wolpaw DR, Papp KK. SNAPPS: a learner-centered model for outpatient education. Acad Med. 2003;78:893–8.
Kim S, Kogan JR, Bellini LM, Shea JA. A randomized-controlled study of encounter cards to improve oral case presentation skills of medical students. J Gen Intern Med. 2005;20:743–7.
Green EH, Hershman W, DeCherrie L, Fagan MJ, Sharpe B. Oral case presentations: what teaching attendings want to hear from clinical clerks. J Gen Intern Med. 2007;22:S94.
Pangaro L. A new vocabulary and other inovations for improving descriptive in-training evaluations. Acad Med. 1999;74:1203–7.
Elliot D, Hickam D. How do faculty evaluate student case presentations? Teach Learn Med. 1997;9:261–3.
Wiese J, Varosy P, Tierney L. Improving oral presentation skills with a clinical reasoning curriculum: a prospective controlled study. Am J Med. 2002;112:212–8.
Acknowledgement
The data used in this report are the property of CDIM and are used with permission. The authors gratefully acknowledge the assistance of the CDIM Research Committee in the preparation, distribution, and management of the survey.
Conflicts of Interest
None disclosed.
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Green, E.H., Durning, S.J., DeCherrie, L. et al. Expectations for Oral Case Presentations for Clinical Clerks: Opinions of Internal Medicine Clerkship Directors. J GEN INTERN MED 24, 370–373 (2009). https://doi.org/10.1007/s11606-008-0900-x
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DOI: https://doi.org/10.1007/s11606-008-0900-x