Transcript
Page 1: How to  write a  case report

How to write a casereport

Dr Taqi Hashmi MB BChir MA (Cantab) MRCGP

Family Medicine ConsultantDepartment of Family Medicine

King Faisal Hospital & Research Centre - Jeddah

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The research challenge

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The first step : the case report

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Detailed view

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The basic case report components

• Case presentation: C/O, O/E, (PMH, FH, Investigations, Differentials, Rx) if indicated, Outcome

• Abstract (summary)

• Refs

• Background (Why this case?)

• Discussion (Validity, uniqueness, new knowledge, review of cases)

• Learning points (3)

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We want this

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But we start with this

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Think process not outcome

• Case presentation: C/O, O/E, (PMH, FH, Investigations, Differentials, Rx) if indicated, Outcome

• Abstract (summary)

• Refs

• Background (Why this case?)

• Discussion (Validity, uniqueness, new knowledge, review of cases)

• Learning points (3)

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What do they want?

"In the era of evidence-based practice, we need practice-based evidence.”Professor Michael Kidd AM

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New!

• Pathogenesis• Adverse effect• Disease• Diagnostic procedure• Treatment

(drug/intervention)

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Unusual• Unusual or rare

– Unusual presentation of a common disease

– Unusual association of diseases/symptoms

– Rare disease– Unexpected outcome

(positive or negative) including adverse drug reactions

• Important– Clinical lesson –

reminder• Images

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We are all exhausted but…

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Don’t let the opportunity pass

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Make a note!

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Get the consent before they go!

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Will it fly?

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Pubmed time

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MyNCBI : Sign Up & Sign In

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The 3 S’s

Search

Summarise

Sort

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Get the format & syntax right

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Write clearly & logically

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Proof read multiply

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Identify your weak links• Time management• Literature search• Weak syntax• Weak logic

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Organise your tasks & info

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Teamwork

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But be prepared to go alone

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It is going to happen

• Rejection is good news.

• Revision is great news!

• Major revision• Minor revision• Address the points

ONLY

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Rejection? Resubmit at least eight times

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A different angle

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How is Saudi Arabia doing?Year No 1 No 2 No 3 Saudi Arabia

1996 USA (321,877) Japan UK 42 (793)

1997 USA Japan UK 43

1998 USA Japan UK 43

1999 USA Japan UK 44

2000 USA Japan UK 47

2001 USA Japan UK 48

2002 USA Japan UK 48

2003 USA Japan UK 48

2004 USA China UK 49

2005 USA China UK 50

2006 USA China UK 51

2007 USA China UK 52

2008 USA China UK 54

2009 USA China UK 51

2010 USA (502,804) China UK 46 (5739)

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Regional Comparison

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Similar population size2010 FiguresMSA 28m, GDP $442b, 15KKSA 27m, GDP $676b, 25K

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Increasing contribution of other fields

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Why aren’t we achieving our potential?

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Even ice melts

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A supportive environment

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Leadership by example at the local level

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Streamline the approvals process

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Be part of a local research network

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Be genuine

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@dr_taqi