A qualitative study of pediatric residents' developmental oral case presentations

dc.creator	Angela Orsino
dc.creator	Lesley G. Conn
dc.creator	Anne Kawamura
dc.creator	Lorelei Lingard
dc.date	2012-10-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:10:35Z
dc.date.available	2015-07-20T22:10:35Z
dc.identifier	10.5116/ijme.5066.ca63
dc.identifier	2042-6372
dc.identifier	https://doaj.org/article/e45e78a85f2e4ae49b9b38f58c3efa2b
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/13737
dc.description	Objectives: To explore how pediatric residents apply their knowledge of relevance in their oral case presentations to the unfamiliar context of a chronic care setting, that of developmental pediatrics. Methods: Pediatric resident oral case presentations were observed and semi-structured interviews were conducted with residents and staff developmental pediatricians. A total of 13 residents and 5 developmental pediatricians were observed and 13/18 participants were interviewed and audiorecorded. Qualitative transcript data were analyzed for emergent themes using an inductive thematic analysis approach. Results: Pediatric residents identified challenges with determining relevance in their oral case presentations in this context. They had difficulty generating succinct case presentations and integrating patient information into an overall clinical impression. Residents conflated the strict organization of information with relevance, and demon-strated presentation formats akin to those used by more novice medical trainees. Staff members viewed the oral case presentation as a flexible vehicle to integrate patient information; however, this perspective was not always explicitly shared during teaching exchanges. Conclusions: Results of this study draw attention to the possible contextual nature of residents' understanding and use of relevance principles in their oral case presentations. Clinicians responsible for teaching in outpatient chronic care settings need to be aware of the possible challenges residents may have with their case presentation, so that teaching strategies can be implemented to ensure residents' acquisition and appropriate adaptation of this essential communication skill.
dc.language	English
dc.publisher	IJME
dc.relation	http://www.ijme.net/archive/3/pediatric-resident-oral-case-presentations.pdf
dc.relation	https://doaj.org/toc/2042-6372
dc.rights	CC BY
dc.source	International Journal of Medical Education, Vol 3, Pp 190-197 (2012)
dc.subject	oral case presentation
dc.subject	developmental paediatrics
dc.subject	relevance
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.title	A qualitative study of pediatric residents' developmental oral case presentations
dc.type	article