how to do morning report patient presentation

by Loyce Luettgen 8 min read

How to run the 'Morning Report' & make rounds more …

4 hours ago Overall guidelines. 1) 25-30 slides is the right length to allow questions and discussion from the audience, participation from our great discussants, and enough time to teach. 2) Confirm topics and teaching points with the corresponding Chief at least 1 week in advance of your report. If you’re struggling to find a case, think back to your own patients from the wards (it’s a good … >> Go To The Portal


Assign a person to the issue and have them follow up Identify actions taken to meet any patient or unit needs Report back to the staff what those actions were or will be Continue to report it during morning briefing until it is resolved or use Status of Safety Issues

Systematic steps:
  1. Kick off with the Chief complaint and have residents seek the History of Present Illness.
  2. Prompt your Uppers choose the top 5 differentials.
  3. Uppers ask ROS questions for a chosen diagnosis.
  4. Uppers call for specific physical exam maneuvers they would like to assess.
  5. General examination reported out.

Full Answer

What is Morning Report?

Morning report is accepted as an essential component of residency education throughout different parts of the world. To review the evidence of the educational value, purpose, methods, and outcomes of morning report.

How do you present a patient in a patient presentation?

How to Present a Patient. You should include: • A brief 1-2 line summary of the patient, the reason for admission, and your likely diagnosis. This should also include information regarding the patient’s clinical stability. While it can be similar to your opener, it should be not identical. An example could be: “Ms.

What is changing Morning Report in internal medicine?

Changing morning report: evaluation of a transition to an interactive mixed-learner format in an internal medicine residency program. Teach Learn Med. 2006; 18 (4):330–335. [ PubMed] [ Google Scholar] [ Ref list]

How do you write a patient presentation for Ros?

Characterize the chief complaint – quality, severity, location, duration, progression, and include pertinent negatives. Items from the ROS that are unrelated to the present problem may be mentioned in passing unless you are doing a very formal presentation. When you do your first patient presentation you may be expected to go into detail.

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What is Morning Report hospital?

The morning report is a conference in which members of the medical team (attending physicians, residents, interns, and students) discuss the patients admitted in the past 24 hours (19).

What is Morning Report in residency?

Morning Report is a teaching round and learning opportunity for medical resident physicians in North America. The event is a case-based discussion which varies by institution, serving as an opportunity for residents, attending physicians, and others to meet, present, and learn from novel or routine clinical cases.

What time is Morning Report?

6:00am to 9:00amMorning Report (@NZMorningReport) / Twitter. RNZ's morning news show, featuring in depth coverage of local and world events from 6:00am to 9:00am every weekday.

Why is oral presentation important?

Effective oral case presentations help facilitate information transfer among physicians and are essential to delivering quality patient care. Oral case presentations are also a key component of how medical students and residents are assessed during their training. At its core, an oral case presentation functions as an argument.

What is oral case presentation?

Oral case presentations are generally made to a medical care team, which can be composed of medical and pharmacy students, residents, pharmacists, medical attendings, and others. As the presenter, you should strive to deliver an interesting presentation that keeps your team members engaged.

When to report ED course?

The emergency department (ED) course is classically reported towards the end of the presentation. However, different attendings may prefer to hear the ED course earlier, usually following the history of present illness. When unsure, report the ED course after the results of diagnostic testing.

Is an outpatient presentation the same as an inpatient presentation?

Outpatients may be presented similarly to inpatients. Your presentation’s focus, however, should align with your outpatient clinic’s specialty. For example, if you are working at a cardiology clinic, your presentation should be focused on your patient’s cardiac complaints.

Do you need to memorize a presentation?

However, while there is no need to memorize your presentation, there is no better way to lose your team’s attention than to read your notes to them. Be honest: Given the importance of presentations in guiding medical care, never guess or report false information to the team.

Do trainees deliver oral presentations?

While delivering oral case presentations is a core skill for trainees, and there have been attempts to standardize the format, expectations still vary among attending physicians. This can be a frustrating experience for trainees, and I would recommend that you clarify your attending’s expectations at the beginning of each new rotation. However, I have found that these differences are often stylistic, and content expectations are generally quite similar. Thus, developing a familiarity with the core elements of a strong oral case presentation is essential.

How long should an oral presentation be?

"Classically, the formal oral presentation is given in 7 minutes or less . Although it follows the same format as a written report, it is not simply regurgitation. A great presentation requires style as much as substance; your delivery must be succinct and smooth. No time should be wasted on superfluous information; one can read about such matters later in your admit note. Ideally, your presentation should be formulated so that your audience can anticipate your assessment and plan; that is, each piece of information should clue the listener into your thinking process and your most likely diagnosis." [ Le, et al, p. 15]

What does "present a new patient to your preceptor" mean?

Present a new patient to your preceptor: the amount of detail will be determined by your preceptor. It is also likely to reflect your development and experience, with less detail being required as you progress.

What is follow up presentation?

It is an abridged presentation, perhaps referencing major patient issues that have been previously presented, but focusing on new information about these issues and/or what has changed. Give the patient’s name, age, date of admission, briefly review the present illness, physical examination and admitting diagnosis. Then report any new finding, laboratory tests, diagnostic procedures and changes in medications.

What should be included in the opening statement of a medical complaint?

The opening statement should give an overview of the patient, age, sex, reason for visit and the duration of the complaint. Give marital status, race, or occupation if relevant. If your patient has a history of a major medical problem that bears strongly on the understanding of the present illness, include it.

How to describe a patient's physical appearance?

Include all significant abnormal findings and any normal findings that contribute to the diagnosis. Give a brief, general description of the patient including physical appearance. Then describe vital signs touching on each major system. Try to find out in advance how thorough you need to be for your presentation. There are times when you will be expected to give more detail on each physical finding, labs and other test results. For ongoing care, mention only further positive findings and relevant negative findings.

Why should a presentation be formulated?

Ideally, your presentation should be formulated so that your audience can anticipate your assessment and plan; that is, each piece of information should clue the listener into your thinking process and your most likely diagnosis.". [ Le, et al, p. 15]

Slide 3. Briefing Denied

A discussion between two or more people, often a team, using succinct information pertinent to an event.

Slide 9. Where Should Rounds Begin?

Is there a patient who requires my immediate attention secondary to acuity?

Slide 21. Sections 3-5

Did you observe an error in transcription of orders by the provider you followed?

Slide 22. If You Were Following a Nurse

Did you observe that in a crisis or when there was an important issue, a nurse’s page or phone call was not returned quickly?

Slide 23. If You Were Following a Physician

What were the obstacles that a physician faced in returning calls or pages?

Alternate Formats

Internet Citation: Morning Briefing and Shadowing (Slide Presentation). Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.

When you are presenting a patient whom you have presented very recently, will your presentation be much shorter?

When you are presenting a patient whom you have presented very recently (such as on daily rounds on an inpatient service), your presentation will be much shorter, more focused, and generally only include what is new, changed, or updated as follows:#N#

Why is oral presentation important?

The oral presentation is a critically important skill for medical providers in communicating patient care wither other providers. It differs from a patient write-up in that it is shorter and more focused, providing what the listeners need to know rather than providing a comprehensive history that the write-up provides.#N#

What is summary statement?

The summary statement is essentially the "opening argument" of what diagnosis (or diagnoses) you think are most likely and primes your audience for why this is the case by providing evidence. While the beginning (including demographics and relevant PMH) mirrors the opening statement of your HPI, it should include more information.#N#

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Style

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Oral case presentations are generally made to a medical care team, which can be composed of medical and pharmacy students, residents, pharmacists, medical attendings, and others. As the presenter, you should strive to deliver an interesting presentation that keeps your team members engaged. Here are a few things to ke…
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Length

  • The length of your presentation will depend on various factors, including the complexity of your patient, your audience, and your specialty. I have found that new internal medicine inpatients generally take 5-10 minutes to present. Internal medicine clerkship directors seem to agree. In a 2009 survey, they reported a range of 2-20 minutes for the ideal length of student inpatient pres…
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Structure

  • While delivering oral case presentations is a core skill for trainees, and there have been attempts to standardize the format, expectations still vary among attending physicians. This can be a frustrating experience for trainees, and I would recommend that you clarify your attending’s expectations at the beginning of each new rotation. However, I have found that these difference…
See more on studentdoctor.net

Presenting Patients Who Have Been in The Hospital For Multiple Days

  • After the initial presentation, subsequent presentations can be delivered via SOAP note format as follows: 1. The Subjectivesection includes details about any significant overnight events and any new complaints the patient has. 2. In the Objectivesection, report your physical exam (focus on any changes since you last examined the patient) and any s...
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Presenting Patients in Different Specialties

  • Before you present a patient, consider your audience. Every specialty presents patients differently. In general, surgical and OB/GYN presentations tend to be much quicker (2-3 minutes), while pediatric and family medicine presentations tend to be similar in length to internal medicine presentations. Tailor your presentations accordingly.
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Presenting Patients in Outpatient Settings

  • Outpatients may be presented similarly to inpatients. Your presentation’s focus, however, should align with your outpatient clinic’s specialty. For example, if you are working at a cardiology clinic, your presentation should be focused on your patient’s cardiac complaints. If your patient is returning for a follow-up visit and does not have a stated chief complaint, you should say so. Yo…
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