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|Title: ||Oral Clinical Long Case Presentation, the Need for Standardization and Documentation|
|Other Titles: ||Le Long Cas De La Presentation Orale Clinique, Le Besoin De Standardisation Et Documentation|
|Authors: ||Agodirin, S. O.|
Olatoke, S. A.
Rahman, G. A.
Agbakwuru, E. A.
Kolawole, O. A.
|Keywords: ||Oral presentation|
Compartmentalized presentation method
|Issue Date: ||2015|
|Publisher: ||Journal of West African College of Surgeons|
|Series/Report no.: ||Vol. 5;No. 3; Pp 49 - 65|
|Abstract: ||Background: The oral presentation of the clinical long case is commonly an implied knowledge. The challenge of
the presentation is compounded by the examiners‘ preferences and sometimes inadequate understanding of
what should be assessed.
Objectives: To highlight the different opinions and misconceptions of trainers as the basis for improving our
under standing and assessment of oral presentation of the clinical long case.
Methodology: Questionnaire was administered during the West African College of Surgeons fellowship clinical
examinations and at their workplaces. Eligibility criteria included being a surgeon, a trainer and responding to all
Results: Of the 72 questionnaires that were returned, 36(50%) were eligible for the analysis. The 36 respondents
were from 14 centers in Nigeria and Ghana. Fifty-two percent were examiners at the postgraduate medical
colleges and 9(25%) were professors. Eight(22.2%) indicated they were unaware of the separate methods of oral
presentation for different occasions while 21( 58.3%) respondents were aware that candidate used the "5Cs"
method and the traditional compartmentalized method in long case oral presentation. Eleven(30.6%) wanted
postgraduates to present differently on a much higher level than undergraduate despite not encountering same in
literature and 21(58.3%) indicated it was an unwritten rule. Seventeen (47.2%) had not previously encountered
the ”5Cs" of history of presenting complaint in literature also 17(47.2%) teach it to medical students and their
Conclusion:This study has shown that examiners definitely have varying opinions on what form the oral
presentation of the clinical long case at surgery fellowship/professional examination should be and it translates to
their expectations of the residents or clinical students. This highlights the need for standardization and consensus
of what is expected at a formal oral presentation during the clinical long case examination in order to avoid
subjectivity and bias.|
|Appears in Collections:||Surgery|
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