SBAP presentation format

Situation    examples:

“This is my first week working here, I may need some help with this patient with 2 weeks of abdominal pain”

Aside from the usual discussion, this will ensure that your preceptor will be confirming your H&P, walking you through the clinical thought process, and assisting on the logistics of the discharge process

“I am seeing a brand new patient to our practice, the patient reports a long medical history and she is presenting with several concerning symptoms including chest pain and dyspnea. I will do my best to put everything together as she was not able to bring records from her doctor”

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

“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. 

 “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 to focus their teaching, and help with time management

“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 ‘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.