1. Director of Medical Education IFFS
HOW TO GIVE A LECTURE
IFFS-UIT
P Devroey
Director of Medical Education IFFS

2. Science Innovation Communication Written Abstract
Peer reviewed manuscript
Oral communication
Presentation of abstract
Invited lecture
Press conference

3. Adapted from Fatemi 2009

4. Science Creative Mechanism of action Pilot studies
Observational studies
Randomized controlled trials
Evidence Based Medicine

5. Considerations Hard science (world first and proven) ?
Which is the focus of the talk ?
Ethical reflections ?
What do I want you as audience to remember ?
Take home message

6. Hostmanship Guest and host Feeling welcome Experience of added value
Jan Gunnarsson 2004

7. Basic principle of hostmanship
Knowledge
Take care
Dialogue
Helicopter view
House style

8. Personal considerations
Inspiration
Educational
Esthetic
Challenge
Surprise

9. Format of the lecture Transparent Forward – looking Modest Clear
Conscious
Constructive
Supported
Trustworthy
Appreciative
Wise
Decisive
Passionate

10. Preparation of the presentation
Planning
Practice

11. The triangle concept
Slides
Laserpointer
Audience
Presenter

12. The mouse concept
Slides
Mouse
Audience

13. The podium concept Projection Speaker (moving) Chairs (sitting)
Laser
Speaker
(moving)
Chairs (sitting)
Laser
Audience

14. Seven basic rules of a presentation
Never more than 7 lines on each slide
50 seconds per slide
Colour
Focussed presentation with references
Tonality
Body language
Travelling from one slide to another
How not to do it

15. Number of slides - example
A 20 minute lecture
1 200 seconds
50 seconds per slide
+/- 24 slides

16. HOW NOT TO DO IT
The accurate detection of underlying reproductive abnormalities helps to guide individual management decisions and maximize ART treatment outcomes. Clinical evaluation of the infertile couple may be grouped into five categories: semen analysis, the post-coital test (PCT), assessment of ovulation, uterine and tubal evaluation, and laparoscopy (Balasch, 2000). Of these, semen analysis, mid-luteal phase serum progesterone level and tubal patency evaluation comprise the initial basic patient work-up (Crosignani and Rubin, 2000). However, the use of several fundamental elements of infertility testing is still contentious, and evidence suggests that the current World Health Organization (WHO) recommendations for the standard investigation of the infertile couple are poorly followed in Europe (Rowe et al., 1993; Balasch, 2000).
Semen analysis
Humans have a low proportion of ‘normal’ sperm compared with many other species. Although relatively few studies of semen analysis have been performed in men with proven fertility, there is a high degree of overlap in semen characteristics between fertile and infertile men (Guzick et al., 2001). High-quality semen analysis has diagnostic value for gross male infertility conditions (such as azoospermia or globozoospermia), but the predictive value of an individual semen analysis is less robust when moderate numbers of motile sperm are present (Comhaire, 2000).
Semen analysis comprises sperm concentration, motility and morphology. No isolated semen analysis measures have been shown to be diagnostic of infertility in large studies (Guzick et al., 2001). In an effort to increase the value of semen analyses, results have been incorporated into complex prediction models (Snick et al., 1997; Hunault et al., 2004). However, the output of these models has large confidence intervals and results must be interpreted cautiously (Snick et al., 1997; Hunault et al., 2004).
Evidence suggests that the WHO recommendations for performance of semen analysis and reporting of results are adhered to poorly in routine laboratory practice (Keel et al., 2002; Riddell et al., 2005). Despite the availability of established systems to improve staff training in semen assessments, such as ESHRE courses (Bjorndahl et al., 2002), the majority of laboratories still do not have accurate methods or appropriate training systems. Thus, semen analysis results are often variable. The demonstrated absence of standardization and strict quality control for semen analysis undermines the diagnostic and prognostic value of the test.
Despite the limitations described, semen analysis is routinely used to evaluate the fertilization potential of the male partner in infertile couples. Semen analysis outcomes also guide management decisions and often influence the choice of expectant management, intrauterine insemination (IUI), in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).
Greater standardization of semen analysis and accurate laboratory evaluation is clearly needed to improve the prognostic value of semen analysis (Ombelet et al., 2003). Furthermore, high-quality studies are required to identify threshold levels that are predictive of treatment outcome to assist decision-making for ART treatment. Sperm function tests may offer greater predictive power than traditional semen analysis but require strict validation prior to use in routine clinical practice

17. What is the etiology of the luteal phase defect in stimulated cycles ?
HOW NOT TO DO IT
What is the etiology of the luteal phase defect in stimulated cycles ?
Oocyte retrieval ?
GnRH agonist ?
hCG ?
Stimulation ?
Combination of those factors ?

18. HOW NOT TO DO IT
What is the etiology of the luteal phase defect in stimulated cycles ?
Oocyte retrieval ?
GnRH agonist ?
hCG ?
Stimulation ?
Combination of those factors ?
HR 1996
FS 2000
JCM 1985

19. HOW TO DO IT
What is the etiology of the luteal phase defect in stimulated cycles ?
Oocyte retrieval ?
GnRH agonist ?
hCG ?
Stimulation ?
Combination of those factors ?
Fatemi Human Reproduction 2000
Fauser Human Reproduction 2008
Blockeel Human Reproduction 2009

20. Preparation What do I need to tell the audience ? How can I focus ?
How can I keep the audience interested ?
What did I publish ?
KISS - Keep It Straightforwardly Simple
Wording

21. Wording during the lectureNO
I feel
I think
There is a trend to prove
My personal view is
YES
It is observed
A tentative interpretation of the data is
So far it’s not significant
The meta-analysis did show

22. Planning
Story
Take home message
Coda

23. Considerations on personal guidelines
Brain and behavior have to be in balance
Fluent wording
Constructive and innovative
Transparent but provocative
Focus on strategies and structures
Traveling from slide to slide

24. Conditions to be creative
Transparent rational behavior
Convinced about change and novelty (progressive versus conservative)
Global interest
Personal niche
Hotel room (cocooning)
Monastery (isolation)
Airplane (detached)

25. Consideration on provocation
Notwithstanding, an unacceptable and immoral act according to the Vatican (1987), ICSI and TESE ICSI which we developed, led and will lead to the birth of millions of children
Is this observation not an inspiring contradiction dedicated to the temple of humanity (Guayasamin, Quito)

26. Considerations on OHSS
OHSS Free Clinic
Percentage of OHSS cases
Development of pregnancies in OHSS cases
Morbidity rate
Mortality rate
Stimulation of egg donors

27. Conclusions Preparation is of paramount importance
Podium concept is mandatory
Eye contact and body language are crucial
The triangle concept helps communication

28. CODA Hostmanship Innovative story ICSI ICSI is applied globally
All men can be the father of their own child
ICSI is applied globally
Thousands and millions of children are and will be born tomorrow
OHSS Free Clinic
Acknowledgements to Melissa Defreyne