How To Give Grand Rounds

Nephrology Grand
Rounds
Fellow Guidelines
Hsiao Lai, MD
East Carolina University
Brody School of Medicine
Nephrology & Hypertension
Learning Goals for Grand Rounds
1. Review requirements for Fellow Grand Rounds presentation
2. Identify 3 main types of presentation slides
3. Identify 3 appropriate literature sources for Grand Rounds
4. Present organized Timeline for Grand Rounds preparation

Text/Summary Slide
Fellow Grand Rounds
Nephrology Grand Rounds 1
st
Tuesday each month
Each Fellow will present Nephrology Grand Rounds near the end of
their first year of fellowship
Schedule
William Davila May 2015
Hunter Coore June 2015
Select a Mentor for guidance and advice
Follow suggested Timeline for preparation

Learning Goals
Select a Topical Area related or relevant to Nephrology
The more focused the better!
Identify 3-4 learning points to inform the Group:
Key Knowledge Review
New or Controversial Data
Practice Improvement Needs
Promote Fellow teaching and critical evaluation skills
Polish Fellow presentation style
Formulate an educational talk that can be used beyond fellowship
Basic Outline for Grand Rounds
Presentation
Title Slide
Disclosure Slide
Teaching or Learning Goals
Background and Impact
Body of Talk: New or Essential Data
Summary of Key Points
Acknowledgements

Slide Formats
Summary/Text Slide
Informative Table
Graphic Slide: Flowchart, Illustration or Diagram
Multimedia Slide
Abbreviations, Fonts and Formats, References
Hypertension in CKD
Data from population-based studies indicate that 95% of individuals
with an eGFR,30 ml/min per 1.73 m2 have hypertension
limited ability of the diseased kidneys to handle sodium excretion, in
activation of a variety of vasoconstrictive and sodium retentive
mechanisms.
In contrast with patients with advanced CKD & patients with
structural kidney disease and preserved kidney function may develop
hypertension due to novel mechanisms that have recently been
described
Rao MV, Qiu Y, Wang C, Bakris G: Hypertension and CKD: Kidney Early Evaluation Program (KEEP) and National Health and Nutrition Examination Survey
(NHANES), 19992004. Am J Kidney Dis 51[Suppl 2]: S30S37, 2008
Hypertension in the United States (40-pt)
36 million uncontrolled high blood pressure (BP) (28-pt)
14 million are unaware that they have high BP
Nearly 22 million know they have high BP, but do not have it under
control
About 26 million with uncontrolled high BP have seen a doctor at
least twice in the past year
16 million take medicine, but still do not have their BP under control;
Millions Do Not Have Their Blood Pressure Controlled, Thomas Frieden, director of the US Centers
for Disease Control and Prevention USA Today on September 4, 2012 (18-pt)
Timeline of Grand Rounds
Nephrology Grand Rounds will be presented by all nephrology fellows
before the end of their first year of fellowship.
The fellow presentations typically occur over the months of April,
May, and June and are scheduled so as to allow the fellow presenting
to have a non-hospital rotation the month prior to presentation.
Fellows will be notified of the month of their Nephrology Grand
Rounds Presentation by the 3
rd
month of fellowship, which means
that each fellow will have at least 6 months of prior notification in
order to adequately prepare their talks.
Timeline (contd)

Each fellow will identify an individual mentor among the faculty for their
grand rounds talk at least 3 months prior to their scheduled presentation
notify Dr. Desai and myself of mentor selection.
This faculty member may be selected from Nephrology, Pathology,
Transplant Surgery or from another department with prior approval from
the Fellowship Director (Dr. Desai) and myself.
This may be the mentor you have selected for your research topic or can be
someone different.
It will be the fellows responsibility to identify a mentor and set up meeting times to
accomplish the goals of the Grand Rounds so please plan ahead of time and give
your mentor plenty of notice.
If you have difficulty contacting your mentor or are otherwise struggling to obtain
feedback from them please notify Dr. Desai or myself and we can assist in facilitating
this process or in helping you to select another mentor.

Timeline (contd)
Fellows will submit finalized topic and teaching goals to myself and
Pam Darden at least 3 weeks prior to scheduled presentation and a
copy of the finalized slides at least 1 week prior to presentation.
Slides will be reviewed to ensure that they meet the guidelines
included.
Please see attached presentation guidelines and suggested timeline.

Identify
Topic &
Mentor
Final Slides
for Review
Grand
Rounds
Feedback
T-3M T-3W T-0 T+2W
Review
Timeline &
Requirements
Title and
Teaching
Goals
T-1W T-4M
Ideas? For
Grand Rounds
Timeline for Grand Rounds
Preparation
Ref: Lai, H, Nephrology Grand Rounds Presentation Guidelines and Timelines, 2014.
Read Summary Sources
Prepare Outline
Meet with Mentor
Refine Learning Points
Read Original Sources
Identify Key Data
Prepare Prelim Slides
Mentor Input

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