Skip to main content
Link to Libraries homepage
Link to Libraries homepage
Rutgers University Libraries

Presentations in Medicine & Science - RBHS: Templates

Resources to help assist you make good presentations in different formats. Posters and oral presentations

Templates

Chief Complaint (CC)

The opening statement should give an overview of the patient, age, sex, reason for visit and the duration of the complaint. Give marital status, race, or occupation if relevant.  If your patient has a history of a major medical problem that bears strongly on the understanding of the present illness, include it. 

  • For ongoing care, give a one sentence recap of the history.

History of Present Illness (HPI)

This will be very similar to your written HPI. Present the most important problem first. If there is more than one problem, treat each separately. Present the information chronologically. over one system before going onto the next. Characterize the chief complaint – quality, severity, location, duration, progression, and include pertinent negatives. Items from the ROS that are unrelated to the present problem may be mentioned in passing unless you are doing a very formal presentation. When you do your first patient presentation you may be expected to go into detail. 

  • For ongoing care, present any new complaints.

Review of Systems (ROS)

Most of the ROS is incorporated at the end of the HPI. Items that are unrelated to the present problem may be briefly mentioned. 

  • For ongoing care, present only if there are new complaints.

Past Medical History (PMH)

Discuss other past medical history that bears directly on the current medical problem.

  • For ongoing care, have the information available to respond to questions.

Past Surgical History

Provide names of procedures, approximate dates, indications, any relevant findings or complications, and pathology reports, if applicable. 

  • For ongoing care, have the information available to respond to questions.

Allergies/Medications

Present all current medications along with dosage, route and frequency. For the follow-up presentation just give any changes in medication. 

  • For ongoing care, note any changes.

Smoking and Alcohol (and any other substance abuse)

Note frequency and duration.

  • For ongoing care, have the information available to respond to questions.

Social/Work History

Home, environment, work status and sexual history.

  • For ongoing care, have the information available to respond to questions.

Family History

Note particular family history of genetically based diseases.

  • For ongoing care, have the information available to respond to questions.

Physical Exam/Labs/Other Tests

Include all significant abnormal findings and any normal findings that contribute to the diagnosis. Give a brief, general description of the patient including physical appearance. Then describe vital signs touching on each major system. Try to find out in advance how thorough you      need to be for your presentation. There are times when you will be expected to give more detail      on each physical finding, labs and other test results.

  • For ongoing care, mention only further positive findings and relevant negative findings.

Assessment and Plan

Give a summary of the important aspects of the history, physical exam and formulate the differential diagnosis. Make sure to read up on the patient’s case by doing a search of the literature.

Medical Librarian

Peggy Dreker, MPA, MLS's picture
Peggy Dreker, MPA, MLS
Contact:
Rutgers, The State University of New Jersey George F. Smith Library of the Health Sciences
Information & Education Department
(973) 972-9549
Website
Subjects:Nursing

Rutgers, The State University of New Jersey, an equal access/equal opportunity institution. Individuals with disabilities are encouraged to direct suggestions, comments, or complaints concerning any accessibility issues with Rutgers web sites to: accessibility@rutgers.edu or complete the Report Accessibility Barrier / Provide Feedback Form.