Generic Presenting Skills

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Generic Presenting Skills

• Ian Bickle

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Presenting

• The Subject
• Presenting Clinical Signs
• Presenting Clinical History
• Presenting a Talk
• Presenting an X-Ray
• Its all the SAME

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A Skin Lesion

• Describing a Skin Lesion
• Size
• Shape
• Colour
• Contour
• Edge
• Location

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An X-Ray Abnormality

• X-ray
• Just the SAME!!
• Try this

LEFT LOWER LOBE
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Methodical Approach

• Follow the 5Ss
• Slow
• Steady
• Systematic
• Search
• Solution

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Terminology
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Terminology

• Plain Films
• Radio-opaque (white)
• Radio-lucency (black)
• CT
• High attenuation (white)
• Low attenuation (black)

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Terminology

• MRI
• High signal (white)
• Low signal (black)
• Nuclear
• High uptake
• Low uptake

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30 second film

• Present in 30 seconds
• Follow up questions
• Influence them in YOUR favour
• Go for the MONEY-SHOT

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Presenting Language
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Careful With Words

• Ummm
• Errr
• Kinda like
• Sort of

• Maybe
• Perhaps
• Possibly
• Might be

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The Ideal OSCE

• Diagnosis known on first look
• The patient has pulmonary oedema as evidenced by
• Cardiomegaly
• Bilateral pleural effusions
• Interlobular septal lines
• Upper lobe venous distension

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Be Firm

• What to do?
• Dont panic
• Keep searching if nothing obvious at first
• Dont dig holes
• Speak clearly
• Be definite
• Give a definitive diagnosis FIRST

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X-rays Likely to Feature

• CXR
• AXR
• Bones
• More complicated modalities
• (obvious abnormality)

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Nottingham Finals Format Radiology Stations

• 6 minute stations
• Chest
• Abdomen
• Musculoskeletal
• Contrast Image

• 2/3 of marks for presentation
• 1/3 for diagnosis

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Practice is Key

• Practice with colleagues
• Aim for 30 seconds Concise Presentation
• Lots of opportunities later today in small group
  sessions

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Help at Hand

• Please visit www.medicalfinals.co.uk for further
  x-rays and online OSCES