The Effect of Clinical Case Presentation Framework Session on Improving Quality and Reducing the Duration of Clinical Case Presentation

Abstract: It is to enhance medical students’ clinical case presentation quality whilst reducing its duration by using the clinical case presentation framework. This is a cross-sectional study that was conducted on third year medical students in Newcastle University Medicine Malaysia (NUMed) between 9th January and 5th July 2019. Twenty-three third year medical students participated in the study during their Obstetrics and Gynaecology rotation. Each of the participants prepared a case presentation to be presented to the audience. The quality scoring was explained to the students and each presentation was timed using stopwatch. Thereafter, feedback and score were given to the presenter after the case presentation. The clinical case presentation framework session was taught, and students were given time to re-do their presentation. Cases were presented again, timed, and scored. The changes in presentation timing and quality score were analyzed using SPSS to estimate the effect of the session on the student’s clinical case presentation skills. The study shown significant reduction in presentation time from 3.13 minutes to 1.23 minutes after having the session and used the clinical case presentation framework (mean difference 1.9, 95% CI = 1.4–2.5). Out of 10 of the total score, the presentation scores also shown statistically significant improvement in quality of the presentation from 5.61 to 8.87 for pre-session and post-session, respectively, upon using the presentation framework (mean difference 3.3, 95% CI = 2.6–3.9). The framework can improve time and quality of clinical case presentation.

Key words: clinical case presentation framework, presentation time, presentation quality, medical student