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Part 3/Practice

Presenting the patient to a senior doctor in FSP

How to present history, suspicion, differentials, and next steps professionally.

5 minUpdated: 26 May 2026OberarztÜbergabeTeil 3
  1. 1

    Patient

    age, basic data

  2. 2

    Chief complaint

    main complaint in one sentence

  3. 3

    Relevant history

    only what matters for the case

  4. 4

    Suspicion & DD

    working diagnosis and alternatives

  5. 5

    Procedure

    next diagnostic steps

Flow of a case presentation: patient, chief complaint, relevant history, suspicion, differential diagnoses, procedure

Short answer

Part 3 requires a concise, professionally clear handoff. It is not identical to the patient conversation.

You switch into doctor-to-doctor language: precise, prioritised, with medical terms and without unnecessary patient detail.

Context

'Give me the case in brief' — and suddenly what counts is not the details you explained to the patient, but the three sentences the senior doctor actually wants to hear.

Part 3 requires a concise, professionally clear handoff. It is not identical to the patient conversation.

From patient register to colleague register

Bavarian Medical Chamber: Fachsprachprüfung

Part 3 of FSP is the doctor-doctor conversation, usually 20 minutes in Bavaria. Unlike the patient conversation, you are speaking here with someone who already knows the medical background – the presentation can and should be more technically precise.

The order that carries a handoff

A stable order helps under time pressure: patient, chief complaint, relevant history, suspicion, differential diagnoses, procedure. Anything that does not fit this order belongs in the follow-up questions afterwards, not the opening.

  • Keep the opening to about 90 seconds.
  • Actively prepare for follow-up questions on terms and reasoning.

Make practice concrete

Use a standard order: patient, chief complaint, relevant history, suspicion, DD, next steps.

Prepare follow-up questions on terminology and reasoning.

How a senior doctor actually listens

A senior doctor interrupts when something is unclear and asks targeted questions – that is part of the exam situation, not a sign your presentation was wrong. Stay calm with follow-up questions, clarify in one sentence, and return to the structure afterwards. An interruption mid-sentence often feels more uncomfortable in practice than in the real exam, which is why it is worth deliberately building follow-up questions into your training instead of avoiding them.

Common misunderstandings

One misunderstanding: the longer the presentation, the more thorough it looks. Brevity and prioritisation matter more than completeness. A second: follow-up questions automatically mean a mistake – often they are simply part of the tested conversation flow.

Next step

Take your last practised case, summarise it in 90 seconds, and have at least two follow-up questions asked afterwards – aloud, timed.

Practise FSP realistically now

Practise history-taking, documentation, doctor-doctor conversation, and terminology in an exam-like flow.

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