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Through @NU_IntMed morning report (MR), @hdx cases, and @CPSolvers virtual morning, I have gotten to see/work through a lot of incredible cases. Here are some thoughts that can help with selecting a case to present/knowing what parts of the case to present! #medtwitter
First, how to pick a case? McNeill et al ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771165/) highlight purposes MR can serve (Image 1) so know what you want to teach. Also think about the 2x2 table below. IMO common dx w/ atypical pres & rare dx w/ typical pres are most high-yield for learning/application
Second, how do you set the pace? @Gurpreet2015 et al ( https://pubmed.ncbi.nlm.nih.gov/19995167/ ) have a great article about presenting a CPS exercise and many of these tips apply to MRs as well! Try to structure your presentation around Image 1
When presenting in a setting where there are multiple discussants, you may have to batch more information together in each aliquot to stay on time. For example, the first aliquot may need to have the full HPI and ROS, instead of stopping after just the chief complaint
If presenting a case where labs were drawn, presenting a full CBC and BMP is always helpful; let the solvers/discussants highlight pertinent findings instead of giving them away (I hope @medrants will back me up on this)
And lastly make sure to facilitate discussion as able! In a setting like @CPSolvers VMR, @DxRxEdu & @rabihmgeha are able to both serve as discussants and facilitators. In a traditional MR, the presenter may also be a facilitator, so brainstorm discussion/teaching points!
These thoughts are by no means a one-size fits all approach to presenting cases but I think they are helpful to provide a framework. Would love to hear more thoughts from #medtwitter @MLRobertsonMD @HannahNordhues @AnandJag1 @sargsyanz @StephVSherman @mirandahuffman @unadoctora
And of course would love to hear from @robiewon82
