Flovent (Fluticasone Propionate)

Medical Student Presentation Guide

This is a rather amusing if not entirely didactic guide to patient presentations

A complete History and Physical must be obtained with the resident on the floor and written up for Dr. Miller and the teaching resident.

Presentation of morning rounds must be focused and concise. Specifically:

Give a one-line introduction with: age, sex, diagnosis(es)
Brief HPI with chief complaint, length and type of symptoms, medical interventions (if any)
ER course: Vital signs, exam in ER, interventions
Floor course: Exam if different from ER, interventions
Your plan: Medical management, studies required, etc.
Concise, effective presentations are very difficult to synthesize. To help you do this, use the intern who is assigned to the patient to figure out what information is pertinent, and give a trial run of your presentation to him or her.

You should practice your presentation and time yourself. The goal is less than two minutes! Remember to include what you feel are the PERTINENT positives and negatives. Your senior resident will ask specific focused questions if they require more information. Again, let me emphasize that we realize this is a difficult task. If you feel uncomfortable or unsure, talk to one of the seniors on your team and they can guide you through your specific areas of concern.

Examples:

Bad:

This is a three year old cute little girl who has been having a hard time breathing for awhile now. She has a doctor who manages her asthma with a bunch of different medicines but things weren't going so well, so she came to the ER with her Mother, sister, and baby doll, Mrs. Bigglesworth. Apparently, she has been in the hospital before with this and mom says she misses a lot of her preschool because of her wheezing. Mom things that she is worse in the spring but she was a little fuzzy on that point. So today after ballet class mom saw that Sissy was breathing hard and they...

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