Oral Case Presentation

Question 1

SBAR

Answer 1

1. Uses standard formal
2. Tailor to setting, audience, clinical situation
3. Modulate pacing, good eye contact
4. Parts
   A. Situation = dx
   B. Background = sample Hx, what’s ordered/done
   C. Assessment = results
   D. Recommendations
   *questions = clarification

Question 2

SAMPLE

Answer 2

1. Signs/symptoms
2. Allergies
3. Medications
4. Past Hx - pertinent, results of prev tests
5. Last oral intake
6. Events leading to presentation

Question 3

Signpost

Answer 3

1. Builds on SBAR
2. Gives “signposts” to preceptor
   A. Allows preceptor to drive convo
   B. Gives preceptor options
   C. Adaptable
3. Presenting case
   A. Stage framework (more traditional)
   
   1. Story/style - 7+ components
   2. Timing - relates to duration
   3. Audience
   4. Goals
   5. Elicit feedback
      B. Opening statement = expanded CC
      C. HPI -pertinent, include ROS
      D. All meds
      E. Allergies
      F. Brief soc Hx
      G. Physical exam - pertinent findings
      H. Summary of primary probs = DDx