Almost all of the oral presentations you will give will be during morning rounds using the SOAP format. As a general rule, oral presentations are shorter than written presentations as they should focus on the most active issues of the day/admission and don’t need to focus as much on every detail that may be in the note. Three minutes is a good rule of thumb.
Subjective – how patient feels, major events overnight
Objective – vital signs and pertinent physical exam findings; new data (labs, xrays, path)
Assessment – should include working diagnosis from presenting problem and prior diagnoses that are being actively addressed during the hospitalization
Plan- this is the area that should be very specific as if you are entering the orders; as patients improve it is important to begin addressing the transition plan which is not only the location (home, rehab, SNF, etc.) but the therapeutic endpoints (what we are looking for clinically to determine a patient is safe to transition out of the hospital)
Many internal medicine patients have multiple active problems and most people find it easier to address the assessment and plan for each diagnosis separately.
Some of the most common stumbling blocks for students (other than nerves) include going into too much detail in the subjective and objective sections, over-reliance on papers leading to poor eye contact and lots of fumbling with paper, incomplete grasp or understanding of the assessment and plan. You may find the following articles helpful:
The is also a brief curriculum that includes examples on Aquifer Oral Presentation.
Optional Oral Presentation small groups with Dr. Nall are held on Thursday afternoons throughout the clerkship. Please refer to the sign-up sheet in Room 4108 if you are interested in participating.