22 hours ago Since case presentations depend on residents' presentations and clinical skills, diagnoses discussed frequently differ from the final diagnosis, and several reports have suggested that this is a major limitation. 2, 4, 11, 16 In a study, 73% of cases presented at a pediatric morning report had a final diagnosis that differed from the initial ... >> Go To The Portal
The structure of morning report may be classified into 3 components: (1) a prelude, which reviews outcomes of patients previously presented, answers research questions from previous sessions, or reviews admissions within the last 24 hours; (2) a detailed case discussion, usually focusing on 1 patient in internal medicine 2, 9, 10 and multiple patients in pediatrics and surgical residencies 11 –, 13; and (3) a conclusion that may include a recap of “teaching moments” and formulation of questions for further research. 2, 9, 10, 14, 15 Individual residency programs may add their own “flavor” to this core structure or use innovative approaches to attract new residents. 16 For example, an internal medicine residency program may invite a pathologist to discuss a postmortem examination, 10 or a librarian to provide in-depth literature review. 17, 18 Internal medicine programs may start morning report with a review of the Medical Knowledge Self-Assessment Program questions 14, 17, 18 or use a quiz and mini-lecture format or describe “pearls” to optimize learning. 19 Other programs may present a mini-journal club, in which articles of significance, 20 and/or teachable moments regarding research design and statistical analysis are discussed, 17 or they may discuss cost effectiveness and discharge planning. 15 Some internal medicine programs reinforced learning points by distributing e-mails to attendees with a summary of the case presented or evidence-based answers to related questions. 18, 21 Formats of morning report range from a formal approach that divides the session into timed components and incorporates adult learning theory to a nonformal approach.
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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.
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]
Carruthers A. General practitioner participation in “Morning Report” at a major teaching hospital. Aust Fam Physician. 1997; 26 (suppl 2):96–98.
Morning report may be the most visible educational feature of residents' teaching. Although residents consistently rank it as the most important educational activity, 1 –, 4 its value is unclear. In this era of cost management and work hour restrictions, no facet of resident education should escape critical assessment.
Systematic steps:Kick off with the Chief complaint and have residents seek the History of Present Illness.Prompt your Uppers choose the top 5 differentials.Uppers ask ROS questions for a chosen diagnosis.Uppers call for specific physical exam maneuvers they would like to assess.General examination reported out.More items...
TipsInclude only the most essential facts; but be ready to answer ANY questions about all aspects of your patient.Keep your presentation lively.Do not read the presentation!Expect your listeners to ask questions.Follow the order of the written case report.Keep in mind the limitation of your listeners.More items...•
Case Presentation. The case report should be chronological and detail the history, physical findings, and investigations followed by the patient's course. At this point, you may wish to include more details than you might have time to present, prioritizing the content later.
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.
How to start a presentationTell your audience who you are. Start your presentation by introducing yourself. ... Share what you are presenting. ... Let them know why it is relevant. ... Tell a story. ... Make an interesting statement. ... Ask for audience participation.
6 Powerful Ways to Start a Presentation to DoctorsStart with a personal story. Open up to your audience by illustrating how the subject at hand is personally important to you. ... Start with a story of a patient. ... Start with a statistic. ... Start with a video. ... Start with a silence. ... Start with humor.
In general, all case reports include the following components: an abstract, an introduction, a case, and a discussion....CasePatient description.Case history.Physical examination results.Results of pathological tests and other investigations.Treatment plan.Expected outcome of the treatment plan.Actual outcome.
It should include some or all of the following elements:Location: What is the location of the pain?Quality: Include a description of the quality of the symptom (i.e. sharp pain)Severity: Degree of pain for example can be described on a scale of 1 - 10.Duration: How long have you had the pain.More items...
First, we describe the complaint that brought the patient to us. It is often useful to use the patient's own words. Next, we introduce the important information that we obtained from our history-taking. We don't need to include every detail – just the information that helped us to settle on our diagnosis.
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).
Morning 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.
Morning report is a traditional core teaching session in most departments of internal medicine where learners present cases to a facilitator who uses the material to teach clinical reasoning.