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Barwon Health / Research

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Case Studies

Case Study Report Documents

Definition of a case study report

A case study report is an article that describes a particular patient's diagnosis and treatment plan. Most of the cases chosen for published medical case studies are of unusual diagnoses, or include complications in treatment. A case study report is written in a specific format and can be submitted to peer-reviewed journals. To write a case study report, the following steps need to be undertaken:

1. Generate a Barwon Health reference number

2. Select a case

  • Case reports are written about patients who have rare or unusual illnesses, or where a treatment plan has an unexpected positive or negative outcome - get support from your line manager and advise the Research Ethics, Governance & Integrity (REGI) Unit.

3. Research the case/literature review

4. Provide patient information and seek consent

  • The patient who is the focus of the medical case study report must provide written consent (many journals have their own consent forms that must be completed and signed by the patient before the report is submitted) - provide the patient with the Participant Explanatory Statement and seek the patient's consent by providing the patient with the Participant Consent Form
  • The consent is to use both patients' data for the purposes of publication, and to access the medical records, including other organisations if required
  • Gather the patient's demographic information (age, medical history, medication use, current and past diagnoses, etc.), and provide detailed information about the patient so the audience will be well informed about the case
  • Collect relevant copies of the patient's labs, x-rays, or any clinical photographs.

5. Write the medical case study report

  • Follow the standard format for the report, as outlined in the Case Study Report Template, sign the Researcher(s) Declaration, and submit to the REGI Unit.

6. Submit your medical case study report to the appropriate professional journal

7. Keep your source records

  • Keep a clear record of the progress in writing up the case, in the event of queries or audits - records are usually stored at least one year after publication, or longer in some cases.

Last Modified: Tuesday, 01 December 2020