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Clinical
Case Conference
Presentation Protocol
Presentation Protocol
Compliments of the Office of
Faculty Development at <=
/span>OUCOM/CORE
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Learning Objectives
ØTrainees (med=
ical
students and residents) will be able to:
Øarticulate the
purpose of a Clinical Case Conference
Ødiscuss helpf=
ul
tips that can be applied prior to, during, and after a CCC=
3;
Ødescribe
important components of a Clinical Case Conference
What’s a CCC?
ØCCC stands for
Clinical Case Conference - a presentation and discussion
of a case that the trainee has been involved with during
his/her training
ØCCC is presen=
ted
to an audience consisting of colleagues and in many cases,
attending physicians
What’s CCC for?
ØThe purpose o=
f a
CCC is to “problem-solve” a case in a small group
setting with input from the audience
ØAnother purpo=
se
is to stimulate discussion about relevant case information
ØUltimately, t=
he
purpose of a presentation is to transmit information<=
/div>
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How to facilitate a CCC
ØThere are many
ways – we recommend Progressive Disclosure
ØProgressive
Disclosure puts the responsibility of “solving=
221;
the case on the audience when effectively presented/facilitated
Prior to a CCC
Ø=
;Always be on the lookout for good cases
Ø=
;Consult an attending to seek advise or get =
input about a case
(Y4 medical student, check
with the CORE Assistant Dean; Resident,
check with the Program Director)
Ø=
;Upon selection of a case to present, obtain the necessary information and materials relevant to the case
Prior to a CCC…
ØPrepare and plan your CCC presentation - =
think about the ASSURE Model:
ØA- Analyze
your audience
ØS- Specify
your objectives
ØS- Select
your materials and media
ØU- Utilize
your materials and media
ØR- Require
audience participation
ØE- Evaluate
Prior to a CCC…
ØPlan and Prac=
tice
your CCC – just like in Broadway, a rehearsal is not a b=
ad idea
During and After the CCC
ØKeep in mind
effective presentation/facilitation skills and tips (find some at
ØReflect on yo=
ur
CCC and fight for feedback from the audience for improvement
for your next CCC
Components of a CCC
ØJust like a m=
ovie
– you need a good title that describes the case
but not give away the diagnosis
ØChief
Complaint – present this in one sentence, in patient’s own words
=
Components of the CCC
ØHistory of
Present Illness – ask the <=
/span>audience what they want to know, given the =
chief complaint&n=
bsp;
(Tip: Responses might include
character and duration of complaint, severity
of pain, etc.)
Ø=
;Once the audience have exhausted their questions, share the positive and negative =
historical findings relating directly to the chief=
=
complaint.
Elements of the CCC…
ØPast Histo=
ry
Relevant to Present Illness and Other Significant Pa=
st History
– again, ask the audience what they want to know
(Tip: Responses might include family
history, travel history, etc.)
ØReview of
Systems – provide ROS if =
significant
Elements of the CCC
ØPhysical E=
xam – ask the audience what they would do in a physical exam for the =
particular complaint…review findings
ØLab/Images=
̵=
1; same
thing, ask the audienc=
e what
labs/images they would order (Tip: you may share results of labs/images =
=
done)
ØDifferenti=
al
Diagnosis – audience can come up with a list. Ask for justification if <=
/span>=
necessary.
Elements of a CCC
ØDiagnosis<=
/b> – share what the diagnosis is for =
the particular case
ØTreatment =
Plan – ask audience what they would recommend for a treatment plan
ØOPP and
Psychosocial considerations =
relative to the case if applicable
ØBrief Topic
Presentation: Provide a 2-3 minute overview of the topic (diagnosis) and =
provide re=
ferences
u
Summary
ØTrainees
(medical students and residents) can:
Øarticulate the purpose of a Clinical Case Conference
Ødiscuss
helpful tips that can be applied prior to, during, and aft=
er a
CCC
Ødescribe important components of a Clinical
Case Conference
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