2. Na examina巽達o
Vista saud叩vel Peso 31.9kg,
> 91st centile
Altura 142.5 cm, no 99.o centile
Plataforma Pubertal A0, P2, G3-4 Mls do
testis 2 e direita esquerdos um 8 mls pelo
orchidometer de Prader Apresenta巽達o do GP?
testes undescended bilaterais os
eua/laparosocopy/endireitam a continua巽達o
deixada orchidopexy/3 do procedimento dos
stephens do fowler da primeira fase,
3,6,12 meses
23. Surgical outpatient assessment after
referral for gastrostomy insertion
Full feeding history
length of meal times,
volume eaten,
nature of feeds and snacks
History to exclude gastro-oesophageal reflux
General history
Discussion detailing aim of intervention
Explanation of possible complications and
relatively likelihood
Long term prognosis and outcomes
24. Outpatient assessment for
gastrostomy insertion
Full feeding history
Exclude gastro-oesophageal reflux
Aim of intervention
Risk of complications
Long term prognosis
26. Antegrade Continent Enema stoma
shown for age and diagnosis, 1997-2009
0-5 years 5-10 10-15 totals
years years
Chronic Constipation inc 6 (15%) 37(40%) 40(45%) 83
IND
Hirschsprung Disease 12 (7%) 72 (41%) 84 (52%) 168
(Soave and Duhamel)
Ano-rectal malformation 3 (2%) 45(45%) 51(52%) 99
(High and Low)
Neurological 16 (20%) 27(39%) 29 (41%) 62
abnormalities (sacral
agenesis, dysraphism
and cerebral palsy)
totals 37 (5%) 154 (40%) 204 (55%) 412
27. ACE stoma shown for age and diagnosis
0-5 years 5-10 years 10-15 years
Chronic 6 37 40 83
Constipation
Hirschsprung 12 72 84 168
Disease
Ano-rectal 3 45 51 99
malformation
Neurological 16 27 29 62
abnormalities
37 154 204 412
...this A vertibale machine gunning of bullentpoints, sub bullet points and lists. Going back to my questions earlier- Do you read them? Do you write them down? Do you learn them? Or do you just read them whilst the presenter talks? Guns don't kill people: bullet points do Seriously. Next time you see a presentation, remember this slide. There will be MORE bullets, than you see here. And that's a lot!!
Okay. I would like this to be a little interactive but hands up who has ever seen something like this? Hands up anyone who has ever MADE and presented something like this? Come on? Confessions And then stood there and read it out verbatim... Or WORSE used a laser pointer to read it out word for word? I believe that these are harming medical education, that they are hindering progress, that they are spreading like a VIRUS and that yes, they are endangering LIFE! I believe that there is a BETTER way to share information and communicate and that we call all learn HOW to do it.
So my question to YOU, is, knowing all that, knowing what makes a good and bad presentation, is that what you are going to deliver in the next few days, in the next presentation you give. Why NOT? The answer I think is complicated but comes down to a few facts. The first is CONFORMITY, We are like robots. We actually want to be the same, do it like everyone else, to fit in. Some of us have been trained to present this way. We've read books, even know rules such as 10,20,30 or 6,6,6 (the mark of the beast) or despite our imagination we are even forced into presenting this way by our seniors. But let me ask you this- does it WORK? (audience participation-the last ppt you sat thru- can you remember all the facts presented, maybe a few, ANY? No wait, you wrote notes didn't you? When did you last read notes you made at a meeting? Do you even know where the notes are?) So,if we KNOW it doesn't work WHY? like robots do we keep doing it??
SO? you want some ideas how to do it then? I believe there are 3 component parts to an excellent presentation. The presentation as a story, the presentation as a slide set and the presentation of both of those as the whole presentation.
No seriously!! So, this is what's ahead of you at the BAPS conference. There will be some paying attention, some struggling and some quite possibly dead. It's all down to presentation skills SO, my question to you is What makes a GOOD presentation? (or conversely, what makes a BAD presentation) (from the audience)
SO? you want some ideas how to do it then? I believe there are 3 component parts to an excellent presentation. The presentation as a story, the presentation as a slide set and the presentation of both of those as the whole presentation.
SO? you want some ideas how to do it then? I believe there are 3 component parts to an excellent presentation. The presentation as a story, the presentation as a slide set and the presentation of both of those as the whole presentation.
Bad story. Every child knows how bedtime stories go A story should flow. It should have a beginning, middle and end whether it is a child's bedtime story or a scientific presentation. That structure is implicit in all stories and we search for that flow in all presentations. Without it we struggle to make sense and so often the flow of a presentation simply doesn't happen
This ONE issue I believe is the source a whole lot of the trouble with presentations. The idea that the slide set should contain ALL the information required from the presentation (and ultimately that it may even be printed off- but we know no-one reads them) The slide and document in one. Failing on BOTH accounts. If you want a document- write it. If you want slides- make them. Do they REALLY have to be combined, because if you do then you end up with this...
So, in preparing the slides of the presentation, what SHOULD go them to explain our imaginative concept?
So the choice is yours, you can go on like you've been doing, producing reasonable results, acceptable, conforming, meeting standards OR you can start to make a change, follow your own direction and start to give great presentations. If you REALLY want to know more then why not come on one of our Presentation Skills Workshops? Email me. That's all the info you need. Thank you
Well, this bloke had it right I think! Brain the size of a planet and well used to trying to explain complex things to people who didn't really understand what he did said THIS (you CAN read this slide if you'd like) It's not about patronising people. It's not about dumbing down your subject. It's not about missing important facts it's about stripping things down to the essentials, the essence, getting rid of clutter to be left with only what is necessary to support your speech
The first thing I would suggest is to try to develop a story that WORKS, that explains what you want to say and will last longer in the memory of your audience than the 9 minutes of the presentation itself. To do this I suggest you develop a story that is IMAGINATIVE, think outside of the box, think, like the case reports we have all written, think of the angle. What will make the story memorable, understandable (even for complex issues)? My suggestion is that images can work very well here as they are memorable, understandable and even as metaphor will work well. The word itself gives us the clue. An IMAGE-inative presentation I recently gave a presentation on intra-abdominal compartment syndrome, making the point that it is a serious condition, that unless you diagnose it early and take appropriate action is highly likely to be fatal...
...this A vertibale machine gunning of bullentpoints, sub bullet points and lists. Going back to my questions earlier- Do you read them? Do you write them down? Do you learn them? Or do you just read them whilst the presenter talks? Guns don't kill people: bullet points do Seriously. Next time you see a presentation, remember this slide. There will be MORE bullets, than you see here. And that's a lot!!
And if you have a lot of information that you want to give, then GIVE it. Hand it out at the end. (if you are presenting at a scientific meeting remember the abstract booklet has space for TONS of info. But we live in the 21 st century. If you want to give out tons of info-DO it. Put it up online and simply give people the weblink. Then you can have graphs and tables and details and references and explanations and all available for anyone who wants it. The use of url shortners makes it a complete breeze to remember too.
What does this mean? Work thru' complexities of National Speed Limit Applies for different roads and that THIS road actually allows you to travel at FIFTY miles an hour!! Imaginative, complicated, concrete, credible, unexpected ?? memorable?
And some people CAN! isn't he engaging too? Don't you just LONG to know what the punchline was? Isnt that SO different from so many presentations you have been to? Robin Williams. IS just funny. as any successful comedian does, he tells stories in such a way that they just work. they leads you through a story to deliver you in a totally UNEXPECTED way to the punchline. As so many of us know, the punchline is not the most important part of the performance but the journey, the images and the unexpected twist that gets us finally there. He doesn't just meet expectations.
So, in preparing the slides of the presentation, what SHOULD go them to explain our imaginative concept?
Here's a bit of an example We've all seen these before with all sorts of relevant facts. But you already know that because you have, once again read ahead, haven't you? So let's look to reduce them to what we actually need.
But this is better isn't it? Significantly. It's more punchy, less reading every word, simpler, but not too simple eh? But then ask yourself do you really need those there? Aren't your audience mature enough to know some of this AND follow along as you explain these things? How could you ground this in something they know and understand about a child being referred for gastrostomy insertion? We've all seen them, we all KNOW these things and how the family are and what the child will be like that has a naso gastric tube put down every day, the distress, the tape, the feeding difficulties...
Nihal needs a gastrostomy... Doesn't that connect? Make it personal? On top of this we can build the story as we all KNOW how it is to treat children like this. Emotional, credible, concrete, unexpected and memorable.
So, what about complex tables? Can you see immediately what is going on here OR are you now struggling to make sense of the data whilst not really listening to me any more? Do we NEED all that information? Or could it be made simpler, focussing on only the essential facts? Do we NEED the ridiculous clip art?
How about this? Stripped down, we've got rid of duplication and things are a little easier. It's not that the other information wasn't important or valuable and perhaps required to make sense of the data but without you to guide them (ie them reading it) they will take MORE time than is required to get to the information YOU want them to hear about the relative percentages each age group makes up. Can you see that data now?
How about now? It's about focus and another technical term- noise to signal ratio.
The 3 rd part of the presentation is the presentation itself. Once you have your great story together, augmented and supported by honed down and stylish slides you still have to get up there and DELIVER. If you haven't seen the film Dodgeball, this might not work for you but Ordinary Joe's Gym need to win to save their gym, not just be average and the learn from Patches O'Hoolahan the 5 Ds of dodgeball. I like to think there are 5 Ps of presenting- Practice Presence Project Perform And Practice again Practice- NO-ONE who is good, got good without practice Presence- when you stand up there it is YOUR presentation, no-one has the script, and no-one knows better than you what this is all about. Project your voice- speak to the back of the hall, they WANT to know what you have to say. Or they should Perform- relax and show them what you REALLY think, REALLY feel, let your enthusiasm and emotion flow Practice- because you still haven't practiced enough!! It's a bit like telling a joke. The words might be all there but some folk just cannot tell a joke to save themselves
...this A vertibale machine gunning of bullentpoints, sub bullet points and lists. Going back to my questions earlier- Do you read them? Do you write them down? Do you learn them? Or do you just read them whilst the presenter talks? Guns don't kill people: bullet points do Seriously. Next time you see a presentation, remember this slide. There will be MORE bullets, than you see here. And that's a lot!!