Long Case Demonstrations

This is a guide to long case demonstrating the basic requirements for organisation, content and standard. You will be observing two presentations of the same patient in the long case format. While you are observing, please consider whether the requirements for the long case are being met. These are the ability to –

  • present a clinical history in a systematic and logical fashion;
  • establish the correct facts from a clinical history;
  • provide evidence of having undertaken a focused and systematic physical examination;
  • establish correct findings on physical examination;
  • suggest appropriate investigations in a logical sequence in order to establish or rule out relevant diagnoses;
  • put forward a relevant diagnosis (diagnoses) including differential diagnoses and relevant weightings for any such diagnoses;
  • put forward an appropriate set of acute management strategies for the specific case being undertaken;
  • exhibit an ability to communicate with senior colleagues in a clear, well paced fashion.


    In addition consider whether the standard of knowledge demonstrated is:
    • 0 = No response
    • 1 = Dangerous practice
    • 2 = Serious errors and omissions in the reply
    • 3 = Clear fail
    • 4 = Borderline fail
    • 5 = Pass with no or little additional information
    • 6 = Pass with some additional information
    • 7 = Good pass – deals competently with major issues
    • 8 = Very good pass
    • 9 = Excellent knowledge and synthesis of information of very high quality
    • 10 = Outstanding – expert response.



    Presentation One - with thanks to Jo Dalgleish (candidate), Victor Lee and Fergus Kerr (examiners)

    Presentation Two - with thanks to Jenny Brookes (candidate), Victor Lee and Fergus Kerr (examiners)

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