Grand Rounds

Remember, it’s your job to teach the other clinics what you learned from your case.



  • A timer will be running. You will have 15 minutes for the formal presentation plus 4-5 minutes for questions. The time limit is enforced so it’s wise to practice your presentation before “show time”.
  • Audiovisual aids should be an integral part of your presentation just as you would expect of your professors. Aids may include the images which were provided as part of the case or graphs.
  • Previous experience has shown that the presentations usually work better if you limit the number of people who actually present (e.g. 2 to 3 instead of all 5).


  • As part of your presentation, you should prepare a digital Presentation Handout. See below for instructions on your DC Handout.
  • Be sure to put one copy of your handout in the medical record!

Medical Record:

  • Final Medical Record will be submitted to your facilitator who directed the case during your schedule Grand Round presentation.
  • The Medical Record should be complete, organized, and free of extraneous paper. Be sure to include all final documentation that brings your case to closure. Could another veterinarian read your record and know what happened and how things turned out?

Turn in the radiographs and any images (e.g. slides) that were a part of your case. 

For more information click on the specific button:

WARNING: We all want to have fun and it’s OK to incorporate some humor into your presentation. Just don’t go overboard or offend anybody. In the end, it is important that you are effective in teaching your classmates and our guests what you learned from your case. Attempts to be “entertaining” should not detract from the effectiveness of your presentation.

You are expected to make good use of audiovisual aids.

Be sure you effectively utilize any images that accompanied your case. Consult with the faculty facilitating your case to help you understand any projected images depicting cytology, histopathology, radiography, etc. Then, during the presentation, it is your responsibility to adequately explain and point to the salient features. If you’re not sure, just ask for help!

You should make effective use of projected text by using the form of PowerPoint slides or Prezi.

  • You might consider projecting a flow chart of the case. Likewise you are encouraged to use any figures that illustrate the pathophysiology and important diagnostic procedures or tests.
  • A little practice will go a long way towards making your presentation go smoothly!
  • Don’t forget that a 15 minute timer will be running.
  • You will then have 4-5 minutes to answer questions.

Presentation Outline:

  • Begin with Case Summary (allow 5-10 minutes)
    • Basically, take the audience briefly through the case as your clinic saw it.
      1. The important points / findings at each step. (Don’t worry about normal data, unless it’s important.)
      2. Differential Diagnoses and how they changed as the case progressed – for example show/discuss your problem list and DfDx’s as you worked through the case.
      3. Important decisions that the clinic made (or didn’t make)
      4. Dilemmas in the case that your clinic faced
      5. Any public health considerations

The case summary should include approach, current diagnosis, prognosis, and (if appropriate) a brief recommended therapeutic plan.

Don’t spend much time on treatment unless it was an essential part of the case. Likewise, don’t discuss normal findings unless they were pertinent and/or allowed you to rule out DfDx’s.

  • Review the condition/disease, including the pathophysiology
    • You will usually need to reserve at least 5 minutes for the review.
    • Remember one of the primary goals of these cases is for you to learn basic mechanisms of disease and laboratory diagnosis, as well as to practice your problem solving and interpersonal skills.
    • Be sure to discuss the prognosis for your case.
  • The Learning Issues:
    • What did you learn from the case?
    • This is one of THE most important parts of your presentations, so give it some careful thought and a bit of significant time during your presentation. The DC faculty LOVE insightful Learning Issues and have been known to deduct points when they think the issues were superficial and/or incomplete.
    • For the purposes of the exercise, the DC faculty is especially interested in what you learned about pathophysiology, clinical pathology, infectious diseases, immunology, toxicology and/or public health.
    • However, the learning issues include much more than the disease you diagnosed.
    • For example, your learning issues might include client-veterinarian communication, approaches to clinical problem solving, dilemmas of non-invasive versus invasive procedures, interpersonal considerations, communication with referring veterinarians and consultants, references and sources of information, etc., etc.
    • Therefore, near the end of your presentation, list and discuss “What we learned”.
  • At the very end, project your final billing statement to the client.

Saving Your Final Presentation

  • Once you have completed your final presentation, save the file in one of the following options. This way the file will be easily accessed in any location.
    • Using thumb drive or external storage device
    • An alternative source could be a cloud based presentation, but needs to be accessible in the rooms in a timely fashion.
  • A final presentation needs to be saved in the DC – Grand Rounds TEAMs Folder – details will be emailed out.

The intention of the handout is to be a supplement form that would be used in a Continuing Education (CE) case presentation that you would be giving to your colleagues in a practice or at a local conference. It is a take away from the PowerPoint presentation and disease – NOT a recap of the presentation.

Handout Format

At the top of your handout, indicate the Group Number, Clinic Name, Names of the Clinic Members, and Date.

MUST be limited to 1 sheet of paper duplexed (i.e. the front & back of one piece of paper) – Use all the available space. If you’re not using all of the front and back, you’re probably not using the space very effectively.

  • Font size no larger than 12 pt
  • Margins of .75 inch all the way around
  • Single Spaced

It is fine to incorporate figures so long as they contribute positively to the document, you cite the reference, and they take less than 25% of space in the entire handout.

The handout should be written primarily in NARRATIVE form (NOT outline form). Figures that were used as part of your presentation and which illustrate key points are welcome (again <25% including pictures).

If you want some input, ask your facilitator to read a draft of your handout. If he or she has time, they’ll be happy to take a look and provide some suggestions.

Handout Content

Your handout should provide a brief overview of the case and the disease or diseases you examined. It should be a supplement to the presentation, not a replication of the same content. Again, the handout should reflect a CE case presentation that you would give to colleagues.

Your handout should NOT reiterate the facts of the case.

  • In other words, except for some basic information on signalment, presenting complaints and problems (not to exceed 5 sentences), you do not need to write a case description or case report. The oral presentation is the place to report on your case and the methods your clinic used to make a diagnosis. On the other hand, you do want to make sure your handout captures the key findings/problems in the case and, if appropriate, any critical DfDx’s.

However, a classmate or DC faculty member should be able to go back to your handout for:

ever, a classmate or DC faculty member should be able to go back to your handout for:

  • A review of the condition you diagnosed with an emphasis on pathophysiology, common problems, diagnosis, and treatment plan.
    • For cases in which there were several very important DfDx’s, consider reviewing those as well. Do not neglect aspects of the disease and/or case that are applicable to the instructors and courses that participate in the Diagnostic Challenges. These include pathology, clinical pathology, bacteriology/mycology, virology, toxicology and immunology. It is fine to incorporate figures so long as they contribute positively to the document, you cite the reference and they take less than 25% of space in the entire handout.
  • Pertinent information on any public health aspects of the case
  • A list of 2-3 key quality references. –
    • This is an abbreviated bibliography extracted from your literature search. Do NOT include standard textbook references like sections in Ettinger, Smith, etc. The bibliography should provide references that your classmates might not otherwise find immediately. (Early submission to your facilitator can be submitted for feedback during the DC week)

Save Handout in Microsoft Teams Folder

Using Diagnostic Challenge Teams Link:

When you have completed your handout you will place it in the Diagnostic Challenge Grand Rounds Teams folder that was emailed out earlier. Be sure to name it with your clinic number and diagnosis. Open the shared folder and select the appropriate DC (1 or 2) and time in which you are presenting in Grand Rounds (am or pm). Drag and drop your file into the folder.

Handout Examples

As will be expected in the veterinary teaching hospitals at WSU, your Medical Record should be clear, complete, organized and free of extraneous pieces of paper.

Ideally, the reader should be able to review your Medical Record and retrospectively follow your thought processes as you worked through the case.

The record should also provide an accurate legal record of the case.

Materials required to be in your medical record when submitted:

  • Master Problem List
  • Progress Notes (including Assessment, Differential Diagnoses and Plan)
  • Data Base (e.g. lab results, history, PE findings, signalment, etc)
  • All SOAPs
  • Phone log/Communications
  • Discharge Instructions or final documentation of case
  • Final Bill
  • Grand Rounds Handout
  • A copy of 1 key article

Before you leave the grand rounds presentation, be sure your final Medical Record has been submitted to your facilitator via Microsoft Teams.