How to Present a Patient Case: The Signpost Method

[@oludamilolaidowu3880]

Presentation of cases gave me most difficulty as an IMG during my clinical assessment. The preceptors had different styles as well. So, this video sure helps.

[@dkcalgary]

I'm delighted that this has helped! DK

[@adrenaline2288]

I ran through all the comments . You are so generous to have replied to all of them . I m a resident in internal medicine . It has helped me a lot . God bless you sir

[@dkcalgary]

Hi Amir, this is very kind feedback. I reply when I find a few scraps of time. I hope your residency program is going well! Where are you training?

[@adrenaline2288]

@@dkcalgary sir , I belong to Pakistan . I have completed my residency . Now appearing in exams these days . Your kind comment is a source of inspiration for me Sir .

[@dkcalgary]

How did your exams go? I hope they went well! Best wishes Amir, David

[@leodash5835]

@@dkcalgary well you must be the most intervactive youtuber

[@davidkeegan2702]

@@leodash5835 wow, and here I thought I was doing a terrible job! Like truly. But we are dealing with a massive covid delta outbreak in Alberta as a result of weak and late restrictions. It will be a while before I have time to check comments in any amount of detail. (I'm still in suspense about Amir's exams though. I hope he did well.) Take care Leo!

[@Lovemedic]

Presenting a case is very vital in the field of Medicine. Improving one's skill is a continuous lifelong process. This video helps though

[@dkcalgary]

Thanks!

[@t.k.3895]

I disagree. I’ve gone across sone more precise. This is too wordy.

[@davidkeegan2702]

@@t.k.3895 Sorry that you feel that way. Take care

[@KingArthurItis]

Training starts at 3:35

[@mrscrambled3162]

Well I m half way and still missing start.

[@user0118]

Wish I saw this video when I was still a student! Awesome source of information.

[@dkcalgary]

I'm glad it helped! DK

[@hornedlobster]

Your videos are phenonemal. The best on youtube for clarity and understanding. Thank you.

[@dkcalgary]

You're very welcome!

[@ivyyin7226]

This was a great video. My NP school showed this video in class. I will try this tomorrow on my preceptor.

[@dkcalgary]

Hi! Great to hear! Can you tell me which school? (It's always nice to keep track of impact of educational resources.). Thanks! :)

[@ivyyin7226]

@@dkcalgary USC (University of Southern California)

[@dkcalgary]

How did it work out?

[@irisalan3018]

Thanks' a million Dr, your approach is fantastic! I have a case presentation for my supervisor this week & very nervous about it but you made it sound reasonable. Pls pray for me so they like it!

[@dkcalgary]

I hope it went well!!! Take care

[@irisalan3018]

@@dkcalgary I didn’t have a chance to do it ! I’m going to prepare for one this week 😅thanks a million

[@dkcalgary]

Hope it goes well!

[@doesntmatters7665]

What i struggle with presentation most is that my social anxiety gets in the way of presenting and it makes it worse,if anyone have idea gow to over come it please let me know

[@dkcalgary]

I'm sorry to hear this. This model should hopefully help as it "takes the pressure off" of you to make a whole bunch of decisions. You present the options and share your info. If a trainee ever shared they had social anxiety with me, I hope I would lean in and support the trainee, creating an atmosphere which would hopefully enable them to thrive. Maybe talk to your doc , psychologist, or student supports about whether disclosure would be a good thing in your scenario? One final thought I learned from community theatre which might help: remember that the doc you're presenting to has gone down that same road. Maybe break the ice and say, "I struggle a bit with case presentations as I'm new at them, but here goes. I've got a 26 year old woman with LLQ and a positive pregnancy test; I think we have to rule out ectopic pregnancy urgently." Best wishes. :)

[@doesntmatters7665]

@@dkcalgary thankyou for your advices I'd consider applying them

[@egsaulnier1]

I am sharing with my mentees from Quebec: Love your approach: wished I had used it before my R5!!! Thank you very much.

[@dkcalgary]

Hi Evelyne, share to heart's content! Thanks for letting me know. Take care.

[@mirgrant]

This is invaluable to me ❤️‍🔥! Thank you 🙏 for expediting language to get RESULTS on improved patient care!

[@dkcalgary]

Great!

[@Sparkle_glitz]

The problem with case presentation during residency training here in my country is that most consultants and senior residents will impose power tripping and most are bullies. One of our resident was bullied because of her native accent. They focused on her accent and made fun of it and embarrassed her instead of focusing on the substance of her presentation which is really informative if only they took time to really listen.

[@fahadabuazzah948]

Thanks, this is a good method I've always had a problem in the present case

[@dkcalgary]

I'm thrilled this has helped! DK

[@saleemchoudry5922]

I am so awkward when it comes to oral case presentations :(

[@holzdamolz]

You aint the only one!

[@dkcalgary]

@@holzdamolz Everyone feels this. I may come across as all confident, but, whoa, was I ever awkward when I started this too! I was channeling my experiences when I put this model together. Try it out, I'm pretty confident it will make things way easier for you. Best of luck!

[@petrakoenig8630]

- I've got a "signalement" presenting for "complaint" and I suspect P has "proposed diagnosis".--- gives clinician an idea about where your head is at and how deep -

[@ansaldibardisapablolorenzo270]

I loved it!! Very Useful ;)

[@daoudakhtar5730]

Where is the "level 2" video? (mentioned at the beginning)

[@dkcalgary]

Hi - whoops - I'll get to that when I get a chance. Thanks, DK

[@411foryou]

dkcalgary great, I have subscribed and I look forward to video number two.

[@dkcalgary]

@@411foryou Hi, level 2 video is here: kzbin.info/www/bejne/sIjEp3yMbN-DfLs

[@niveditamishra1]

very efficient way to do a presentation.. thanks sir.plz put more such videos, organ system wise or disease specific

[@dkcalgary]

I'm glad you like it. When I get a chance, I will be be putting out more videos. Thanks! DK

[@yarsiahboldoetoe4281]

How do I present my patients as a pharmacist clinical student

[@dkcalgary]

Hi, as a family medicine teacher, I may not be the best to answer. I suggest using this method, though, as it really enables the preceptor and learner to jointly manage the flow. But there may be specific things a pharmacy instructor might be looking for which I simply don't know. Just ask! :)

[@moshfiqurchowdhury3698]

Wonderful, smart new vision and style.

[@dkcalgary]

Thanks, DK

[@Stewie111]

i am a final year medical student.Yesterday i presented a case to my lecturer and he said dont translate the things that the patient said to you.But he did no tell me how to present it.He wae just making fun of it agian and again.Other students are also laughing but some of them are even worse than mine.

[@pauld4355]

this is really good for EM

[@dkcalgary]

Hi Paul, my background includes working as a rural doc, then going back to do an emerg fellowship (where I was reminded of the challenges of different preceptors who have different expectations), and tertiary emergency care, all in addition to my family medicine work. For sure, my learner and teacher experience in emerg helped me develop this approach. Thanks for the EM shout-out, DK

[@babydocdad]

In the beginning of the video, he refers to a "level 2 - fancy" way of doing things. Does that video exist?

[@dkcalgary]

I'll get to that when I get a chance ... I thought I was about to have another batch of time to create more, but nope! I will soon. dk

[@blizzified9223]

dkcalgary that'll be great :)

[@dkcalgary]

@@blizzified9223 HI! Sorry for the delay in responding. The "level 2" video - a summary of SNAPPS developed by the great Wolpaws is up! kzbin.info/www/bejne/sIjEp3yMbN-DfLs

[@howtopracticeyoga]

thank you! how to best prepare for MCCQE2 - any advice? thanks

[@dkcalgary]

Hi, well it's been canceled (plus I'm late). Get a bunch of friends from different fields to brainstorm possible stations and coach each other, always always always read aloud your findings on examination stations (people often forget), if an examiner interrupts you it's because you have made a major mistake (shake your head, step back, read the station aloud slowly and you should realize/see the mistake), and have fun - like really! The mcc actors are amazing - have fun!!

[@stephenmurata]

Where’s the level 2 video?

[@dkcalgary]

Hi, it's been filmed and is having some final editing. It will be up soon! dk

[@dkcalgary]

Hi Stephen! Woo-hoo! The Level 2 video is right here: kzbin.info/www/bejne/sIjEp3yMbN-DfLs . Thanks!

[@pussylumpessru]

woah, 3 years later.. haha

[@dkcalgary]

@@pussylumpessru Yup! 3 years later. :) What works for me and my schedule is to film a bunch at once, and then try to film more on another day. Things were very, very busy the last 3 years. If curious, check out learnfm.ca, pivotmeded.ca, and ucalgary.ca/ofdp.

[@GinsuSher]

nice video. short and precise

[@dkcalgary]

Hi! thanks! dk

[@dkcalgary]

And nice short and precise feedback! Thanks! DK

[@DrAdnan]

I’ll try this thanks!

[@dkcalgary]

Great! How did it go? dk

[@miriamc.s.3516]

Very helpful, thank you!

[@dkcalgary]

You're very welcome!

[@krn077]

Thank you . It was helpful.

[@dkcalgary]

You're welcome!

[@Vunami]

Sounds like the SBAR method with SCHOLARMAC

[@dkcalgary]

The foundational piece of this is part of good old fashioned clinical discussion, common to so many different pneumonics for case presentation. The key difference is the Signposting. The number one complaint about preceptors is "Everyone wants to hear case presentations differently." This approach sets up a buffet for the preceptor to pick from - that's what's unique. You lay out the options, making sure the preceptor knows you have some analysis and a proposed action plan, and then let them choose Door #1, or Door #2, etc. It turns case presentations into a FLUID conversation while at the same time cuing your preceptor that you've thought ahead.

[@patriciaaduch5342]

9:26 🎉🎉

[@XBox360Quest]

YOU ARE AWESOME!

[@dkcalgary]

Hi, I'm delighted you like it. DK

[@Wishwellpomeyie]

Thanks for the video,

[@dkcalgary]

You're most welcome! DK

[@wacaw7303]

Is this Dustyn Williams 2.0?

[@deniellemoodley3416]

Love these vids!

[@dkcalgary]

You are welcome! Finally - in the next few weeks, I should be recording a whole bunch more.... stay tuned! DK

[@LogenBogen]

thank you that is helpful! I would appreciate it if you did a video about presenting a clinical case poster at a congress

[@dkcalgary]

Hi, as it happens, I wrote a paper with a colleague on how to present posters. Specifically, it was a study on how what you wear (i.e your clothes) affects how many people visit your poster. Here's the link. www.cmaj.ca/content/169/12/1291.full.pdf+html In general, give visitors to your poster small chunks of info, starting with the key nugget from your poster. Just like presenting a case, let your visitors tell you where they want to go in exploring the case, and provide that info, occasionally giving them a heads-up on other info they might want to learn about. DK

[@dkcalgary]

Hmm. This is not on my priority hit list - however, check out the CMAJ article I co-wrote for a key tip: www.cmaj.ca/content/169/12/1291

[@sonaturallygwen]

Thank you!

[@dkcalgary]

I'm glad you liked the video! Hope it helps, DK

[@tradingwithraja5598]

Sir I'm a dentistry student, will It be appropriate for me?

[@jenniferandjelich9552]

I would think so, I'm a NP and used this when training with an incredibly knowledgable MD who had previously only trained MD students and he praised me on it.

[@dkcalgary]

I'm not a dentist, but think this should work well. By its nature, this model adapts to different contexts.

[@dkcalgary]

So great to hear Jennifer! Glad it worked well for you :)

[@marwabebars1443]

Thank you

[@dkcalgary]

you're welcome!

[@rehanullah6366]

Thanks its helpful

[@dkcalgary]

You're very welcome!

[@rohitgoel3186]

You really helped me thanks 👍🏼

[@dkcalgary]

Hey Rohit, you are most welcome!

[@holzdamolz]

Thank you kind sir

[@dkcalgary]

You're very welcome!

[@supriyadarshan6198]

Tq..its amazing

[@dkcalgary]

Thanks! dk

[@erimubernard7068]

Awesome Presentation?

[@davidw.9711]

lovely video

[@dkcalgary]

You're welcome! dk

[@hera5454]

Thank youuuu ^^

[@dkcalgary]

You're welcome!

[@DrZaynab995]

Oh are you doctor and army like me?🤭😂

[@hera5454]

@@DrZaynab995 Ahah yes I’m an ARMY and not a doctor but a master’s student in neuropsychology :))

[@dkcalgary]

I'm a doc but not in an army (though some of my friends are both doc and army).

[@seanswann1143]

Thanks

[@dkcalgary]

no prob. dk

[@hemanthms5268]

Hi,iam nurse practitioner, how to present case

[@dkcalgary]

I've been trained by, worked with, and trained nurse practitioners. This model should be useful to you as well.

[@fikrifauzanakbardhirgantar3968]

You can never do this in Indonesian med school, they will yell at you and walk out of the presentation😊

[@fikrifauzanakbardhirgantar3968]

But really in a well developed med school/hospital environment, this is such a good approach. I’m looking forward to using this method elsewhere. I really am looking forward to leave Indonesia’s mess very soon…

[@zerluck9253]

Thank you

[@zerluck9253]

Thank you

[@dkcalgary]

You're welcome!

[@anthony1776diaz]

nice username