SBAP presentation format

Situation    examples:

“This is my first week in primary care, I am not sure what to do with this patient with diabetes, heart failure, liver transplant status, as well as chronic multifocal pain and symptoms”

Aside from the usual discussion, this will ensure that your preceptor will be confirm your H&P,  walk you through the clinical thought process, help with time management, and provide therapy for july intern stress.

“I am seeing a brand new transfer to our practice, the patient reports a complicated medical history and she is presenting with several concerning symptoms including chest pain. I will do my best to put everything together as she was unable to secure records from her last doctor”

This get your preceptors to sit up straight and prepare to assist with a complex and potential ill individual

“I have a busy afternoon with 5 patients scheduled including a complicated hospital discharge, I am going to be more rushed than usual.  Here’s my first patient, she is just here to follow up a change we made to her antihypertensive regimen 2 months ago.”

This helps your preceptors to know how to dial down their teaching and help with patient flow.

“This is a patient whom I have followed for several years, she is complex and chronically ill. My main question today is how to evaluate an acute on chronic decompensation in her renal function”

For this sophisticated learners, posting a learning question up front will allow more efficient teaching from our preceptor

“This is a patient I am seeing on the walk-in clinic, she is a patient of Dr. L and will see him in 3 weeks, she is here with 3 days of R knee pain. . ”

This helps to set the context of the visit, your preceptor will know that you are providing urgent focused care, and not comprehensive primary care. 

“This is a ‘walk-in’ patient of mine whom I overbooked as she has been struggling with her back pain”

Again setting the context, so your preceptor knows that you are seeing this patient for a focused problem and may be running behind in time.