1. How to write a case report Dr Taqi Hashmi MB BChir MA (Cantab) MRCGP Family Medicine Consultant Department of Family Medicine King Faisal Hospital & Research Centre - Jeddah

2. The research challenge

3. The first step : the case report

4. Detailed view

5. The basic case report components Case presentation: C/O, O/E, (PMH, FH, Investigations, Differentials, Rx) if indicated, Outcome Abstract (summary) Refs Background (Why this case?) Discussion (Validity, uniqueness, new knowledge, review of cases) Learning points (3)

6. We want this

7. But we start with this

8. Think process not outcome Case presentation: C/O, O/E, (PMH, FH, Investigations, Differentials, Rx) if indicated, Outcome Abstract (summary) Refs Background (Why this case?) Discussion (Validity, uniqueness, new knowledge, review of cases) Learning points (3)

9. What do they want? "In the era of evidence-based practice, we need practice-based evidence. Professor Michael Kidd AM

10. New! Pathogenesis Adverse effect Disease Diagnostic procedure Treatment (drug/intervention)

11. Unusual Unusual or rare – Unusual presentation of a common disease – Unusual association of diseases/symptoms – Rare disease – Unexpected outcome (positive or negative) including adverse drug reactions Important – Clinical lesson – reminder Images

12. We are all exhausted but…

13. Dont let the opportunity pass

14. Make a note!

15. Get the consent before they go!

16. Will it fly?

17. Pubmed time

18. MyNCBI : Sign Up & Sign In

19. The 3 Ss Search Summarise Sort

20. Get the format & syntax right

21. Write clearly & logically

22. Proof read multiply

23. Identify your weak links Time management Literature search Weak syntax Weak logic

24. Organise your tasks & info

25. Teamwork

26. But be prepared to go alone

27. It is going to happen Rejection is good news. Revision is great news! Major revision Minor revision Address the points ONLY

28. Rejection? Resubmit at least eight times

29. A different angle

30. How is Saudi Arabia doing? YearNo 1No 2No 3Saudi Arabia 1996USA (321,877)JapanUK42 (793) 1997USAJapanUK43 1998USAJapanUK43 1999USAJapanUK44 2000USAJapanUK47 2001USAJapanUK48 2002USAJapanUK48 2003USAJapanUK48 2004USAChinaUK49 2005USAChinaUK50 2006USAChinaUK51 2007USAChinaUK52 2008USAChinaUK54 2009USAChinaUK51 2010USA (502,804)ChinaUK46 (5739)

31. Regional Comparison

32. Similar population size 2010 Figures MSA28m, GDP $442b, 15K KSA27m, GDP $676b, 25K

33. Increasing contribution of other fields

34. Why arent we achieving our potential?

35. Even ice melts

36. A supportive environment

37. Leadership by example at the local level

38. Streamline the approvals process

39. Be part of a local research network

40. Be genuine

41. @dr_taqi