P4 case presentation format

[MatCauthon]

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Does someone have a case presentation guide they care to share? I am a P4 student that keeps getting dinged on by my preceptor for not presenting my patients to them in the correct way. I honestly have no idea what the correct way is any more 😀. I am trying to present in a SOAP format but that isn't working too well, even though it worked ok with my last preceptor.

Anyone have any pointers? I've got to get this figured out fast because I heard we have to do case presentations for residency interviews as well.

While we are at it, does anyone have any recommended guides or resources for hospital inpatient rotations? Starting inpatient soon and need to start getting my stuff together.

 

[Quiksilver]

Does someone have a case presentation guide they care to share? I am a P4 student that keeps getting dinged on by my preceptor for not presenting my patients to them in the correct way. I honestly have no idea what the correct way is any more 😀. I am trying to present in a SOAP format but that isn't working too well, even though it worked ok with my last preceptor.

Anyone have any pointers? I've got to get this figured out fast because I heard we have to do case presentations for residency interviews as well.

While we are at it, does anyone have any recommended guides or resources for hospital inpatient rotations? Starting inpatient soon and need to start getting my stuff together.

****, if you can't present a case report by your fourth year of pharmacy school...

Have you thought about asking your preceptor?

 

[transzincIIB]

How are you presenting it? There's a Soap note vs a care plan. Is this what you are looking for?

 

[type b pharmD]

We have several case based formats for our different classes and case presentations but the general format goes as follows , almost always.

Maybe try something like this (presented in this order)

1. Patient basics (demographics, CC)

2. RELEVANT PMH

3. Meds the patient is on (or supplements if applicable to the case)

4. Status of chief problem (or multiple) (include brief HPI, severity, factors which favor certain treatments over others, and dont forget to include 'goals' such as those defined by guidelines, if applicable). If multiple problems, separate your presentation by problem, with steps 4-6 for each problem. This will help flow and make it easy for the listener to stay organized as well

5. Status of current drug tx (evidence based? sufficient? efficient? cost effective? AE's, ETC, basically any parameter related to the current tx)

6. Recommendation for changes or further treatment (also include monitoring parameters if applicable for safety and efficacy)

Pretty basic. The key with a good patient case in my opinion is that is both succinct and thorough. You should be able to convey it in <10 minutes for sure (complicated patient or treatments), and <5 minutes generally in a real world scenario, and not waste time on background information that is not relevant to the case. At the same time you definitely always want to include information on guidelines, goals, where the patient is in relation to those, and how exactly the new treatment would relate to reaching those goals. In some of our classes we need to include 'relevant patient education' as well, so you might want to consider that depending on the situation.

Hope this helps. I'm trying to streamline my case presentation communication skills myself. Having a plan ahead of time for the order in which youre going to proceed helps a lot.

Although if i was in your situation, I'd be asking my preceptor or my rotations office if they have a rubric, before asking on here.

 

[mustang sally]

Hmm, if you're talking about just a quick verbal presentation I would ask the preceptor for constructive criticism and then try to follow the suggestions.

If this is for a formal ppt presentation, it seems like the site should give you the score sheet or some other information to guide your presentation.

 

[Ackj]

We have several case based formats for our different classes and case presentations but the general format goes as follows , almost always.

Maybe try something like this (presented in this order)

1. Patient basics (demographics, CC)

2. RELEVANT PMH

3. Meds the patient is on (or supplements if applicable to the case)

4. Status of chief problem (or multiple) (include brief HPI, severity, factors which favor certain treatments over others, and dont forget to include 'goals' such as those defined by guidelines, if applicable). If multiple problems, separate your presentation by problem, with steps 4-6 for each problem. This will help flow and make it easy for the listener to stay organized as well

5. Status of current drug tx (evidence based? sufficient? efficient? cost effective? AE's, ETC, basically any parameter related to the current tx)

6. Recommendation for changes or further treatment (also include monitoring parameters if applicable for safety and efficacy)

Pretty basic. The key with a good patient case in my opinion is that is both succinct and thorough. You should be able to convey it in <10 minutes for sure (complicated patient or treatments), and <5 minutes generally in a real world scenario, and not waste time on background information that is not relevant to the case. At the same time you definitely always want to include information on guidelines, goals, where the patient is in relation to those, and how exactly the new treatment would relate to reaching those goals. In some of our classes we need to include 'relevant patient education' as well, so you might want to consider that depending on the situation.

Hope this helps. I'm trying to streamline my case presentation communication skills myself. Having a plan ahead of time for the order in which youre going to proceed helps a lot.

Although if i was in your situation, I'd be asking my preceptor or my rotations office if they have a rubric, before asking on here.

This sounds pretty accurate, repeat 4-6 ad nauseam so you hit all of the disease states/DRPs. If it's am care, make sure you include lifestyle modifications like specific dietary measures or exercise, but for inpatient that may not be the most appropriate thing to discuss at the time.

Definitely ask the preceptor what they want to hear, I find it hard to believe they're knocking points off and not being specific about the reasons.

 

[Trent Steele]

ever thought about asking?

 

[transzincIIB]

I agree with above as for practice or reference, I'd say go visit the ASHP clinical skills section, there's a file on how to do a soap care plan and how to present a case 🙂 these are the cases for competition, just imagine its not for competition, good luck. ACCP has guidelines list on their newsletter. hope this helps.