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ID Conference and Public Speaking ID Fellowship Orientation Paul Pottinger, MD, DTM&H July 8, 2011

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OBJECTIVES ID Case ConferenceID Case Conference Case Selection Case Selection Presentation Strategies Presentation Strategies Public Speaking GenerallyPublic Speaking Generally Pearls from a grizzled veteran Pearls from a grizzled veteran

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CAVEATS You already know this.You already know this. You can do this. You can do this. Yes its fun (Its Good to be the Fellow) Yes its fun (Its Good to be the Fellow)

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OBJECTIVES ID Case ConferenceID Case Conference Case Selection Case Selection Presentation Strategies Presentation Strategies Public Speaking GenerallyPublic Speaking Generally Pearls from a grizzled veteran Pearls from a grizzled veteran

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ID Conference FunctionsFunctions Inform the audience Inform the audience Get input from the audience Get input from the audience Train the speaker Train the speaker Socialize with colleagues Socialize with colleagues

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ID Conference Location & TimingLocation & Timing HMC R&T Building, first floor HMC R&T Building, first floor (most) Wednesdays August-June (most) Wednesdays August-June 4:30-5:15 (ish) 4:30-5:15 (ish)

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ID Conference FormatFormat PowerPoint (strongly encouraged) PowerPoint (strongly encouraged) Case-Based Case-Based

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma Management Dilemma Management Dilemma Teaser or Appetizer Teaser or Appetizer

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma T E A C H

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma T = Teaching Points T = Teaching Points E = Enigma E = Enigma A = Answer A = Answer C = Cool C = Cool H = Honest H = Honest

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma T = Teaching Points T = Teaching Points E = Enigma E = Enigma A = Answer A = Answer C = Cool C = Cool H = Honest H = Honest e.g. The organisms that stain AFB positive include nocardia, legionella mcdedei, rhodococcus, and mycobacteria

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma T = Teaching Points T = Teaching Points E = Enigma E = Enigma A = Answer A = Answer C = Cool C = Cool H = Honest H = Honest By halfway through the case there should be > 1 strong contenders on the DDX.

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma T = Teaching Points T = Teaching Points E = Enigma E = Enigma A = Answer A = Answer C = Cool C = Cool H = Honest H = Honest People love getting an answer if not, that is OK, just tell them up front and give f/u later!

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma T = Teaching Points T = Teaching Points E = Enigma E = Enigma A = Answer A = Answer C = Cool C = Cool H = Honest H = Honest Hard to define but you know what I mean.

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma T = Teaching Points T = Teaching Points E = Enigma E = Enigma A = Answer A = Answer C = Cool C = Cool H = Honest H = Honest Microbes dont read textbooks you have to tell like it is, not how it should be!

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma Management Dilemma Management Dilemma Something you might see again Something you might see again Decision of consequence Decision of consequence Toxicity?Toxicity? Efficacy?Efficacy? Logistics?Logistics?

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ID Conference Case Selection: Variety is Good!Case Selection: Variety is Good! Diagnostic Dilemma Diagnostic Dilemma Management Dilemma Management Dilemma Teaser or Appetizer Teaser or Appetizer E.G. Mystery Gram Stain, CXR, CT, Rash photoE.G. Mystery Gram Stain, CXR, CT, Rash photo

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ID Conference Presentation StrategyPresentation Strategy Teaser case first (done in < 5 minutes, allow people to arrive, settle, focus) Teaser case first (done in < 5 minutes, allow people to arrive, settle, focus) Three full cases (each 10-15 minutes) Three full cases (each 10-15 minutes)

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ID Conference Presentation StrategyPresentation Strategy Case Presentation: 3 minutes or so. Case Presentation: 3 minutes or so. Hide the key data... And ask for a DDX. Hide the key data... And ask for a DDX. ENGAGE THE AUDIENCE, ask SPECIFIC questions ENGAGE THE AUDIENCE, ask SPECIFIC questions

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ID Conference Presentation StrategyPresentation Strategy FIGHT THE 4:30 ZOMBIES! FIGHT THE 4:30 ZOMBIES! ENGAGE THE AUDIENCE! ENGAGE THE AUDIENCE! SPECIFIC QUESTIONS (What do you think of the granulomas in her bone marrow? How does her trip to Viet Nam 9 years earlier change your ddx?) SPECIFIC QUESTIONS (What do you think of the granulomas in her bone marrow? How does her trip to Viet Nam 9 years earlier change your ddx?) SPECIFIC PEOPLE (Christina, does this FLAIR sequence look viral to you?) SPECIFIC PEOPLE (Christina, does this FLAIR sequence look viral to you?)

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ID Conference Presentation StrategyPresentation Strategy Case Presentation: 3 minutes or so. Case Presentation: 3 minutes or so. Hide the key data... And ask for a DDX. Hide the key data... And ask for a DDX. Brief discussion of the syndrome or bug at hand (5 min usually enough) Brief discussion of the syndrome or bug at hand (5 min usually enough) Exhaustive rehash of Mandell neither expected nor desired! Exhaustive rehash of Mandell neither expected nor desired!

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ID Conference Quick Tips for GreatnessQuick Tips for Greatness Attention wanes in the late hours average > 1 slide per minute (~different from scientific talks) Attention wanes in the late hours average > 1 slide per minute (~different from scientific talks) Plenty of visual extras: imaging, skin, photomicrographs (micro lab will help you shoot these) Plenty of visual extras: imaging, skin, photomicrographs (micro lab will help you shoot these) Energy, humor, engagement! Energy, humor, engagement!

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ID Conference ExpectationExpectation Review your slides with your attending by the Monday before conference Review your slides with your attending by the Monday before conference If the attending who saw the case with you is OOT, ask Paul P, Tom Hawn, John Lynch, or Shireesha Dhanireddy. If the attending who saw the case with you is OOT, ask Paul P, Tom Hawn, John Lynch, or Shireesha Dhanireddy.

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Speaking Pearls (In General) ATTIREATTIRE Will vary by forum Will vary by forum Rule of thumb: dress one level up from audience Rule of thumb: dress one level up from audience If in doubt, wear a jacket & tie (you can always take it off if less formal vibe) If in doubt, wear a jacket & tie (you can always take it off if less formal vibe) ID Conference: come as you are! ID Conference: come as you are!

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Speaking Pearls (In General) SETUPSETUP If new venue, try to arrive 30 min ahead of time If new venue, try to arrive 30 min ahead of time Insist (politely) on using your own machine (unless you know the venue) Insist (politely) on using your own machine (unless you know the venue) Always have backup on USB (and cloud?) Always have backup on USB (and cloud?) If Mac bring your LCD dongle! If Mac bring your LCD dongle!

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Speaking Pearls (In General) BODY LANGUAGEBODY LANGUAGE Face the audience (not the screen) Face the audience (not the screen) Smiles are golden Smiles are golden Connect with audience by talking to individuals, one point at a time Connect with audience by talking to individuals, one point at a time Hands out of pockets! Hands out of pockets! A little movement is just fine A little movement is just fine Ask questions with raised palm Ask questions with raised palm

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Speaking Pearls (In General) PREPARATIONPREPARATION KNOW YOUR AUDIENCE! KNOW YOUR AUDIENCE! Who are they? Who are they? Whats their agenda? Whats their agenda? What do they (not) want to hear? What do they (not) want to hear?

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An Inconvenient Truth?

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Xuan Qin, PhD

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Speaking Pearls (In General) PREPARATIONPREPARATION KNOW YOUR SLIDES! KNOW YOUR SLIDES! NO substitute for rehearsal NO substitute for rehearsal Printouts may help you a little do not inspire confidence in audience Printouts may help you a little do not inspire confidence in audience Focus on the transitions Focus on the transitions Use presenter view on ppt Use presenter view on ppt

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Speaking Pearls (In General) PREPARATIONPREPARATION KNOW YOUR STUFF! KNOW YOUR STUFF! What will they ask? Consider building a couple hidden slides to answer likely questions What will they ask? Consider building a couple hidden slides to answer likely questions

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Speaking Pearls (In General) TOUGH QUESTIONSTOUGH QUESTIONS Anticipate them Anticipate them Circumlocutive answers are OK but keep them quick, finish with admission you dont know, pitch it back (politely) to the asker Circumlocutive answers are OK but keep them quick, finish with admission you dont know, pitch it back (politely) to the asker

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Speaking Pearls (In General) ORGANIZATIONORGANIZATION Tried & TRUE! Tried & TRUE! Outline at start, summary at end Outline at start, summary at end Signposts helpful Signposts helpful Tell em what your going to tell emTell em what your going to tell em Tell emTell em Tell em what you told emTell em what you told em

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Speaking Pearls (In General) PACINGPACING Rough guide: About one slide per minute Caveat: I always double this! Rough guide: About one slide per minute Caveat: I always double this!

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Speaking Pearls (In General) HUMORHUMOR Again, KNOW YOUR AUDIENCE! Again, KNOW YOUR AUDIENCE! Ribald humor will always insult someone Ribald humor will always insult someone May put them (and you) at ease to start but be prepared to bomb! May put them (and you) at ease to start but be prepared to bomb! Reasonable to add into talk periodically self-deprecation always a winner Reasonable to add into talk periodically self-deprecation always a winner

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Newer, Fancier, Pricier Better! LinezolidTMP/SMX

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Speaking Pearls (In General) PHOTOSPHOTOS Great to put a face on it Great to put a face on it Worth a thousand words Worth a thousand words Also potentially distracting (think about fourniers photos yesterday) Also potentially distracting (think about fourniers photos yesterday) Credit images diligently Credit images diligently Consider HIPAA issues Consider HIPAA issues

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Speaking Pearls (In General) ANIMATIONSANIMATIONS May really add interest May really add interest Often abused, can be distracting Often abused, can be distracting

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Case A 70 y/o woman with dementia & DM- nephropathy admitted from SNF for sepsis.A 70 y/o woman with dementia & DM- nephropathy admitted from SNF for sepsis. Long h/o foot ulcers with VRE & MRSA.Long h/o foot ulcers with VRE & MRSA. Urine grows MRSA Vanco begun.Urine grows MRSA Vanco begun. Remains febrile after 6 days.Remains febrile after 6 days. A) No Big Deal B) Target Vanco trough 15-20 mcg/mL C) Consider Daptomycin D) Consider Linezolid E) Wish I had dedicated my career to combating antimicrobial resistance. > 100K S.aureus DrugMICInterpretation Oxacillin4RESISTANT Chloramphenicol4SUSCEPTIBLE Linezolid2SUSCEPTIBLE Rifampin1SUSCEPTIBLE TMP/SMX2/38SUSCEPTIBLE Vancomycin4SUSCEPTIBLE

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Speaking Pearls (In General) FONTS & BACKGROUNDSFONTS & BACKGROUNDS Sans Serif best Sans Serif best Bigger (font) is better Bigger (font) is better Shadow can help increase readability (esp if gradient or photo background) Shadow can help increase readability (esp if gradient or photo background) Fussy backgrounds are distracting Fussy backgrounds are distracting MORE CONTRAST IS BETTER (to a point)! MORE CONTRAST IS BETTER (to a point)!

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EPIDIDYMO- ORCHITIS Paul Pottinger, MD, DTM&H Division of Allergy & ID November 16, 2010

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Speaking Pearls (In General) PITFALLSPITFALLS What cheeses you off? What cheeses you off? What has made you happy? What has made you happy? What are the KEY ITEMS you want to communicate (three max)? What are the KEY ITEMS you want to communicate (three max)?

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