Format :

The report will follow a recognized format :

1

Patient Demographic information (not name)

a. Age and gender
b. Social information
c. Medical Record number

Data Gathering describes sequential development and history of the illness and physical
examination in appropriate detail
a. Presenting chief complaint and History of Present Illness (HPI)
b. Past history
c. Family history
d. Other
e. Physical Examination

Investigations needed (or done) and expected of known results

Summary

Analysis :
1

Diagnostic Reasoning

Anatomic or physiological diagnosis

Differential diagnosis reviews and analyzes the considered differential diagnosis
2

Therapeutic Reasoning (if appropriate)

a

Natural history states the natural history of the condition

Management plan the student describes realistic management options, expectations,

and risks; selects a treatment of choice

Patient Reaction to the illness (FIFE : Feelings, Insights, Functions, Expectations)

Recommendation to be given to the patient

Disease Review :
The students provides a summary of the disease or illness based on a brief literature review. This should
be only about half a page but should include the key features of the disease.

Case Presentation :
This is an oral presentation from memory or notes not read :
-

Begin with a review of demographic data

Review history

Report of physical examination

Review of important laboratory or imaging studies

Analysis :

Diagnostic reasoning

Therapeutic reasoning

Recommendation

Summary of Case