Transcript How to write a case report (Power Point)

How to
write a
case
report
Dr Taqi Hashmi
MB BChir MA (Cantab) MRCGP
Family Medicine Consultant
Department of Family Medicine
King Faisal Hospital & Research Centre Jeddah
The research challenge
The first step : the case report
Detailed view
The basic case report components
• Abstract (summary)
• Background (Why this case?)
• Case presentation: C/O, O/E, (PMH,
FH, Investigations, Differentials, Rx)
if indicated, Outcome
• Discussion (Validity, uniqueness,
new knowledge, review of cases)
• Learning points (3)
• Refs
We want this
But we start with this
Think process not outcome
• Background (Why this case?)
• Case presentation: C/O, O/E, (PMH,
FH, Investigations, Differentials, Rx)
if indicated, Outcome
• Refs
• Discussion (Validity, uniqueness,
new knowledge, review of cases)
• Learning points (3)
• Abstract (summary)
What do they want?
"In the era of
evidence-based
practice, we need
practice-based
evidence.”
Professor Michael
Kidd AM
New!
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Pathogenesis
Adverse effect
Disease
Diagnostic procedure
Treatment
(drug/intervention)
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
We are all exhausted but…
Don’t let the opportunity pass
Make a note!
Get the consent before they go!
Will it fly?
Pubmed time
MyNCBI : Sign Up & Sign In
The 3 S’s
Search
Sort
Summarise
Get the format & syntax right
Write clearly & logically
Proof read multiply
Identify your weak links
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Time management
Literature search
Weak syntax
Weak logic
Organise your tasks & info
Teamwork
But be prepared to go alone
It is going to happen
• Rejection is good
news.
• Revision is great
news!
• Major revision
• Minor revision
• Address the points
ONLY
Rejection? Resubmit at least eight times
A different angle
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)
Regional Comparison
Similar population size
2010 Figures
MSA
28m, GDP $442b, 15K
KSA
27m, GDP $676b, 25K
Increasing contribution of other fields
Why aren’t we achieving our potential?
Even ice melts
A supportive environment
Leadership by example at the local level
Streamline the approvals process
Be part of a local research network
Be genuine
@dr_taqi