ID Conference and Public Speaking ID Fellowship Orientation

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

2. OBJECTIVES • ID Case Conference • Case Selection • Presentation Strategies • Public Speaking Generally • Pearls from a grizzled veteran

3. CAVEATS • You already know this…. • You can do this…. • Yes it’s fun (“It’s Good to be the Fellow”)

4. OBJECTIVES • ID Case Conference • Case Selection • Presentation Strategies • Public Speaking Generally • Pearls from a grizzled veteran

5. ID Conference • Functions • Inform the audience • Get input from the audience • Train the speaker • Socialize with colleagues

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

7. ID Conference • Format • PowerPoint (strongly encouraged) • Case-Based

8. ID Conference • Case Selection: Variety is Good! • Diagnostic Dilemma • Management Dilemma • “Teaser” or “Appetizer”

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

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

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

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

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

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

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

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

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

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

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

20. ID Conference • Presentation Strategy • FIGHT THE 4:30 ZOMBIES! • 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 PEOPLE (“Christina, does this FLAIR sequence look viral to you?”)

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

22. ID Conference • Quick Tips for Greatness • 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) • Energy, humor, engagement!

23. ID Conference • Expectation • 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 ShireeshaDhanireddy.

24. Speaking Pearls (In General) • ATTIRE • Will vary by forum • 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) • ID Conference: come as you are!

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

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

27. Speaking Pearls (In General) • PREPARATION • KNOW YOUR AUDIENCE! • Who are they? • What’s their agenda? • What do they (not) want to hear?

28. An Inconvenient Truth?

29. Xuan Qin, PhD

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

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

34. Speaking Pearls (In General) • TOUGH QUESTIONS • Anticipate them • Circumlocutive answers are OK… but keep them quick, finish with admission you don’t know, pitch it back (politely) to the asker

35. Speaking Pearls (In General) • ORGANIZATION • Tried & TRUE! • Outline at start, summary at end • “Signposts” helpful • Tell ‘em what your going to tell ‘em • Tell ‘em • Tell ‘em what you told ‘em

37. Speaking Pearls (In General) • PACING • Rough guide: About one slide per minute… Caveat: I always double this!

38. Speaking Pearls (In General) • HUMOR • Again, KNOW YOUR AUDIENCE! • Ribald humor will always insult someone • 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

39. Newer, Fancier, Pricier ≠ Better! Linezolid TMP/SMX

41. Speaking Pearls (In General) • PHOTOS • Great to “put a face on it” • “Worth a thousand words…” • Also potentially distracting (think about fournier’s photos yesterday…) • Credit images diligently • Consider HIPAA issues

43. Speaking Pearls (In General) • ANIMATIONS • May really add interest • Often abused, can be distracting

44. Case • A 70 y/o woman with dementia & DM-nephropathy admitted from SNF for sepsis. • Long h/o foot ulcers with VRE & MRSA. • Urine grows MRSA → Vanco begun. • Remains febrile after 6 days. • No Big Deal • Target Vanco trough 15-20 mcg/mL • Consider Daptomycin • Consider Linezolid • Wish I had dedicated my career to combating antimicrobial resistance….

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

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

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