The One Minute Case Presentation

1. The One Minute Case Presentation Paul Mitsch and Rob Colt 2013 AACFP Institute

2. Introduction • Case presentations, in dentistry, tend to justify the dentist’s perception. However, the reasons we present cases have little to do with justification! Case presentations are, at least, tools to educate, communicate and allow historical records to track patients and treatment outcomes and health. It is important, therefore, to build a concept upon which a managerial architecture may be built.

3. One Minute Case Presentation • The concept of a one minute case presentation fulfills the parameters of our minimum standards we discussed in the introduction; education, communication and tracking. • The one minute presentation contains 5 parameters; identification of the patient, diagnosis or need for treatment, treatment, outcomes and prognosis after treatment.

4. Identification • The patient’s name, sex, age and health • The patient’s name should be first name, DOB, last name initial only, general comment about their health and their approximated BMI (under 20, under 25 or under 30) • Example: Joni C. 34 year old female, generally in good health BMI over 30 • Or: Joni C. female DOB 10/14/1975 without significant health history BMI well over 30

5. Diagnosis or Need for Treatment • There is no need to justify treatment or defend a treatment plan at this point. Simply point out the diagnosis and STOP! • Example: The diagnosis for Joni included pain with degenerative joint disease and wear and damage to her dentition.

6. Treatment • Report of treatment MUST relate absolutely, positively to the diagnosis! • I treated (not we, there is no committee in treatment) the patient by eliminating pain utilizing an appliance to relax muscles and decompressing the joint. After stabilization the patient was restored utilizing orthodontics and restorative dentistry. She was completed in treatment 24 months ago.

7. Treatment Outcome • The outcome comment regarding treatment needs comment on that the quality of treatment, this is quality assurance. • Example: The patient has been followed in maintenance appointments and has attended appointments for 24 months. Radiographs, clinical evaluation and patient comments show that the patient is not in pain, is stable and has completed orthodontic repositioning and restorative treatment.

8. Prognosis or Post Operative Expectations • This comment includes what is reasonable to expect in the future and is important to include any caveats that may cause deviation from the treatment outcomes. • Example: The patient may expect to enjoy the treatment outcomes if she continues to follow post-operative care and advice given. There may be mechanical failures or health issues that impact the level of success. The patient understands that management and maintenance of her current status includes preventative care and biometric evaluation.

9. Use of the One Minute Treatment Presentation (OMTP) • Education of the patient • Discussion with referring or inquiring professionals (other dentists or health care providers) • Evaluation of Historic relevance of treatment, for research or for professional education. • Introduction of patient in legal description for patient.

10. Conclusions • OMTP allows us to control our relationship with the patient in any enviornment the relationship is questioned. • OMTP allows us to return to one of 5 areas in terms of justification and “ zero in” on the patient interaction in relation to identification, diagnosis treatment, outcomes or expectation. • Do you see a need to include OMTP with your patient’s in the future. 5 sentences that may change and simplify your practice.