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Implementation of a Problem-Based Presentation Format to Improve Residents' Ambulatory Patient Presentations.

Starr S Steinhilber1, Erin D Snyder2, Carlos A Estrada3

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Summary
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A new Problem-Based Presentation (PBP) format improved resident confidence and organization during clinic presentations. Faculty satisfaction also increased, enhancing the educational experience in outpatient settings.

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Area of Science:

  • Medical Education
  • Internal Medicine Residency Training
  • Clinical Presentation Skills

Background:

  • Standardized formats for presenting hospitalized patients exist, but outpatient clinic presentation guidance is inconsistent.
  • This inconsistency can lead to varied educational experiences for residents and faculty.

Purpose of the Study:

  • To develop, implement, and evaluate a novel standardized format for outpatient clinic presentations.
  • The aim was to improve the structure and effectiveness of resident presentations in the clinic setting.

Main Methods:

  • A needs assessment informed the development of the Problem-Based Presentation (PBP) format.
  • The PBP format was implemented in an internal medicine residency program's teaching clinics.
  • Pre- and post-intervention surveys assessed resident and faculty perceptions of presentation outcomes, feasibility, and acceptability.

Main Results:

  • Residents reported significant improvements in confidence regarding presentation content, order, and organization (P<.001).
  • Perceived quality of outpatient education and frequency of teaching points reviewed also increased for residents (P=.002).
  • Faculty reported increased satisfaction with the structured resident presentations (P=.008).

Conclusions:

  • The Problem-Based Presentation (PBP) format effectively enhanced resident confidence in presentation skills.
  • Implementation of the PBP format led to better-organized presentations and improved resident education in outpatient clinics.
  • The standardized format positively impacted faculty satisfaction with resident presentations.