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)
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)?