How to Give a Lecture Marc A. Schuckit, MD UCSD. Copyright Alcohol Medical Scholars Program 2 GIVING...

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How to Give a Lecture Marc A. Schuckit, MD UCSD

Transcript of How to Give a Lecture Marc A. Schuckit, MD UCSD. Copyright Alcohol Medical Scholars Program 2 GIVING...

  • How to Give a LectureMarc A. Schuckit, MDUCSD

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  • GIVING A LECTURE Everyone can do it Learn a style Modify for you

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  • THIS LECTURE COVERS Philosophy Preparation Slides Delivery Questions

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  • PHILOSOPHY Set ~ 4 clear goals Goal must fit audience Needs of audience are key 10-15 min. attention span

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  • PREPARATION Know material Develop outline Revise Practice Expect problems

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  • REVIEWING THE LITERATURE Begin with recent paper List topics on sheets Go to other recent articles Extract on sheets Summarize complex sheets Place in order Fill in holes

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  • DEVELOPING AN OUTLINEI. Major topics A. Components of topics 1. Explaining components a. Details 1) Etc.II. A. 1. 2. B. 1. 2.

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  • PREPARATION Know material Develop outline Revise Practice Expect problems

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  • SLIDES Major topics ~ 4 key slides Develop 2nd level slides All slides to be 10th grade level Understood in 10 secs Simple Large writing

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  • SLIDES: DONT USE Book tables/figures Quotations Too many Overheads

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  • TYPES OF SLIDES Label topics Outline talk Set mood Focus attention Show criteria Draw conclusions Show simple data

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  • THE IMPORTANCE OF GENETICS IS SUPPORTED BY: Family Adoption Twin

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  • VARIANCE OF RISK(Heterogeneous and Polygenic)

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  • LOW LEVEL OF RESPONSE TO ALCOHOL (LR)1.Less Alcohol Related Change on a Challenge.

    2.The Need for a Relatively High Number of Drinks for an Effect.

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    Chart1

    00

    13599

    12595

    12079

    9059

    7042

    3934

    .05

    .01

    .05

    .05

    FHN

    FHP

    Time

    Effect

    Breath Alcohol Bar Chart

    30 MinStdNt

    FHP Rapid0.0833750.024486416-0.0656766083

    FHP Slow0.0771290.028329931

    FHN Rapid0.08171430.024000322-0.0072152988

    FHN Slow0.080920.022229725

    Breath Alcohol Bar Chart

    00.0244864

    00.0283299

    00.0240003

    00.0222297

    30 Min

    Breath Alcohol Level

    Blood Alcohol Level for Rapid and Slow FHP and FHN subjects at 30 Minutes

    Fast Data

    0

    0

    0

    0

    30 Min

    Breath Alcohol Level

    Blood Alcohol Level for Rapid and Slow FHP and FHN subjects at 30 Minutes

    Graph

    0Alcohol16EBA160000

    7E30160.0833750.02448640.0430.131

    30E60160.08806250.01342870.0610.109

    60E90160.08006250.01070490.0580.099

    90E120160.07031250.00972780.0510.088

    120E150160.0618750.00882330.0470.081

    150E180160.05531250.00847520.0410.076

    180E210160.0486250.01167830.030.081

    210PHIGHBA160000

    PHIGH71611.812511.3502937036

    PHIGH301614.510.198039236

    PHIGH601612.7510.705139036

    PHIGH901610.06259.8689327131

    PHIGH120168.1257.804913029

    PHIGH150165.256.8361783023

    PHIGH1801635.6803756020

    FHPMenAlcohol16PHIGH210161.68753.5160347014

    PDRUGBA160000

    PDRUG71613.513.3516541036

    PDRUG30161410.9726934036

    PDRUG601613.7511.0664659036

    PDRUG9016108.9666047030

    PDRUG120166.8756.8300805025

    PDRUG150165.1256.1846584018

    PDRUG180163.3754.8287334017

    PDRUG210161.753.0659419011

    shastba160000

    shast71670.312573.50439330223

    shast301682.12562.42101688243

    shast601673.812566.585502710241

    shast901657.2554.56922216197

    shast1201638.539.54238231152

    shast1501629.062537.10609790127

    shast1801616.937529.1786880116

    shast21016915.1789328061

    Alcohol21EBA210000

    E30210.08171430.02400030.0430.144

    E60210.09066670.01118630.0640.113

    E90210.08080950.00855350.0660.098

    E120210.0693810.00872630.0570.084

    E150210.06019050.00832840.0470.076

    E180210.05323810.00795550.0420.066

    E210210.04566670.00885060.030.06

    PHIGHBA210000

    PHIGH7213.85714294.6398892016

    PHIGH30216.57142865.0355876020

    PHIGH60216.90476195.0289637220

    PHIGH90214.66666674.7679485020

    PHIGH120212.80952382.694792208

    PHIGH150211.66666672.129162606

    PHIGH180210.85714291.388730104

    PHIGH210210.38095240.804747803

    PDRUGBA210000

    PDRUG7215.09523817.9680911032

    PDRUG30218.19047627.447275031

    PDRUG60219.38095246.8809606228

    PDRUG90217.23809526.5261379126

    PDRUG120214.71428574.9914212021

    PDRUG150213.71428574.8181206019

    PDRUG180211.61904761.596126305

    PDRUG210210.80952381.600595106

    shastba210000

    shast72127.380952443.92661630180

    shast302144.761904848.30104013211

    shast60215246.24932437186

    shast902136.476190540.26613843165

    shast1202125.428571429.83047340130

    shast1502116.619047626.36944480119

    shast180217.09523818.9493283031

    shast210212.9523814.598654016

    Data

    Data

    00

    13599

    12595

    12079

    9059

    7042

    3934

    .05

    .01

    .05

    .05

    FHN

    FHP

    Time Post-Ethanol Administration (minutes)

    SHAS Total Score

    AverageFHPFHN

    000

    3099135

    6095125

    9079120

    1205990

    1504270

    1803439

  • SRE TIME FRAME: DRINKS 1st 5 Recent HeaviestNEEDED TO: Times 3 MosFeel EffectFeel Dizzy orSlur SpeechStumbleFall Asleep

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  • LR60% GeneticsLR Relates to RiskCOANative AmericansKoreansLow LR Predicts Outcome

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  • COMPLEXITIES Environment Heterogeneous Polygenic

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  • SEARCH FOR GENES FOR LR Association Linkage Animal Models

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  • GENOTYPES, LR, & ALCOHOL DEPENDENCE5HTTGABAA6BOTH LL+ SS+ LL SL SS Pro/Ser Pro/Pro Pro/Ser Pro/ProLR

    %ALC-.89 -.30 00

    57 21 12-1.01 -.27

    71 23-1.29 +.03

    100 00

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  • DOMAINSBehavioral Undercontrol (BU)Coping Style (WOC + DTC)Stress(LES + Work Stress)Social Support (SSQ N, S + SPS)Expectancies (AEQ)Drinking Environment (IPA + Spouse)

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  • FHalcLRPEERHOMEEXPECTCOPEALCOUTLR MODEL

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  • LR MODEL (Kids)

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    EXPECT

    LR

    Fhalc

    age

    sex

    ALC OUT

    .20

    .24

    -.18

    HOME

    .17

    .25

    .50

    .29

    .24

    .20

    -.20

    .12

    .07

    .13

    .49

  • Theoretical Gene X Environment Model

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    ALC

    Gene

    Environ

    FHalc

  • GABA X EXPECT

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    ALC

    GABA

    EXPECT

    FHalc

    .18

    .32

    .32

  • IMPLICATIONS FOR PREVENTIONEnhance Education of Vulnerabilities Find Environmental / Psychosocial Protective Factors Specific to Risk

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  • DELIVERY Inspect room Stand Use outline State goal and structure

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  • DELIVERY Announce transitions Summarize along the way Build in rests Eye contact & revise Watch clock End with major points

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  • QUESTIONS Restate question Never get angry Dealing with rambling Qs Admit when dont know

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  • OTHER TOPICS Humor Handouts Boredom Getting lost Emergencies

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  • CONCLUSIONS Everyone can lecture Focus on audience Preparation is key

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