Opening strong when your first slides have to be disclosures

How to recover after slides nobody came to see

Published

Topic

Deck Structure

Every CME talk spends its most valuable two minutes on the slides nobody came to see.

Attention is highest at the very start. And that’s exactly the window the required front matter consumes — disclosures, objectives, background. By the time the speaker reaches the content that matters, the room has already settled into passive mode. It isn’t the faculty’s fault. It’s baked into the format.

The faculty who beat this treat the end of the boilerplate as a starting gun. The instant the required slides are done — before the epidemiology, before the background — they put a single real clinical question on screen. One the audience actually wrestles with. And attention snaps back, because the slide signals: this is for you, and it’s going to be worth your time.

You can’t cut the front matter. But you do decide what the very next slide does — and that one slide does more work than any other in the deck.

From New York City with ♡

©2026 Al Pittampalli