General expectations

 Each MR will have one 1-hour-long presentation

 The case should be presented by the intern and discussion will be
facilitated by the CMR
 Teaching slides will be prepared and presented by the team senior
 Case should be identified and relayed to the CMRs 72 hours prior to the
morning report day; slides should be prepared and sent to the CMRs 48
hours in advance
 If no case is selected by 72 hours, the CMR will choose a case for the
residents to present
 If slides are not received within the expected time frame, the senior
resident will be expected to facilitate the discussion for the case instead
of the CMR
General expectations- cntd.

 If a medical student is interested in presenting part of morning

report, approval should be obtained from one of the CMRs first.
 No copying and pasting is allowed from resources, rather rephrasing
in one’s own words. Pictures and algorithms are allowed to be
copied, granted the source is mentioned.
The following slides show an
example of a morning report
presentation.
HUH Team A1
DR MARIA DIAB, PGY-3
Chief complaint

 Headache + fever
HPI

 21yo AA M presents to ED with headache & fever x1 day.

 Associated with photophobia, N/V.
 Went to urgent care yesterday, prescribed Tylenol.
ROS

 HEENT: +ve for rhinorrhea

 Otherwise negative, including a comprehensive infectious ROS.
Histories

 Medical: seasonal allergies, asthma

 Surgical: tonsillectomy @4yo
 Social: nonsmoker, no EtOH use, college student, lives in dorm
 Sexual: active with one F partner, consistent use of barrier
protection, HIV last year was –ve
 Medications: prn Claritin, prn albuterol
 Allergies: penicillin causes a rash
Physical exam

 Vitals: T, BP, HR, RR, SATs, Wt

 Rest of exam: ADD ONLY THE PERTINENT POSITIVES AND NEGATIVES!!!
Differential diagnosis
Investigations (labs/imaging) done
for your pt
Hospital Course

 What the investigations showed and how you managed the pt.
 Can be more than one slide depending on the length of stay and
the complexity of the case.
Cost Effectiveness

 If possible, present info about labs/imaging/procedures that were

done that were not practice changing. Add how much each cost
and note how much money would have been saved if a more
intuitive medical thought process was put into the management.
Educational slides

 Focus on select aspect of the disease, such as pathophysiology,

presentation, diagnosis, treatment, prognosis. Do not cover
EVERYTHING!
 Have 2-3 clinical questions that you answer in an evidence-based
way.
 5-6 bullet points per slide. Don’t jam your slides with words!!! (see
next slide). You can hold cards and use them to talk.
 Don’t copy and paste from other resources!
Compare the 2 examples:
 Good slide:
 Pizza is composed of dough,
tomato sauce, and other rich
ingredients.
 Typically round in shape
 Comes in many flavors
 The extra carbs are so worth it.
 Bad slide:
 The first pizza ever made was in
Italy many many centuries ago,
someone was hungry and they
had some flour, experimented with
adding milk, water, oil, yeast,
sugar, then came up with dough,
thought dough and tomatoes
would make a good mix, so
added the two together and,
voila!, the oven was already
warm, then they invited friends
from France and gave them a
sample to take back home.
Healthcare Disparities

 If possible, add some statistics comparing how healthcare provided

to/available for minorities.
References

 Diab et al. The eternal quest to find the perfect pizza. The
International Journal of eateries. 1990; 16(8);15-20.