Expectations for oral case presentations for clinical clerks: opinions of internal medicine clerkship directors

J Gen Intern Med. 2009 Mar;24(3):370-3. doi: 10.1007/s11606-008-0900-x. Epub 2009 Jan 13.


Background: Little is known about the expectations of undergraduate internal medicine educators for oral case presentations (OCPs).

Objective: We surveyed undergraduate internal medicine educational leaders to determine the degree to which they share the same expectations for oral case presentations.

Subjects: Participants were institutional members of the Clerkship Directors of Internal Medicine (CDIM).

Design: We included 20 questions relating to the OCP within the CDIM annual survey of its institutional members. We asked about the relative importance of specific attributes in a third-year medical student OCP of a new patient as well as its expected length. Percentage of respondents rating attributes as "very important" were compared using chi-squared analysis.

Results: Survey response rate was 82/110 (75%). Some attributes were more often considered very important than others (p < .001). Eight items, including aspects of the history of present illness, organization, a directed physical exam, and a prioritized assessment and plan focused on the most important problems, were rated as very important by >50% of respondents. Respondents expected the OCP to last a median of 7 minutes.

Conclusions: Undergraduate internal medicine education leaders from a geographically diverse group of North American medical schools share common expectations for OCPs which can guide instruction and evaluation of this skill.

MeSH terms

  • Clinical Clerkship / standards*
  • Data Collection
  • Educational Measurement / standards*
  • Faculty, Medical
  • Goals
  • Humans
  • Internal Medicine / education*
  • Professional Competence / standards*