Learning Objectives
Effective presentation design is not about being artistic — it is about communicating clearly. The CARP principles (Contrast, Alignment, Repetition, Proximity) are four foundational design rules that transform cluttered, confusing slides into professional, readable presentations. These principles were popularized by designer Robin Williams and apply universally, from clinic brochures to boardroom slide decks. Mastering CARP will immediately improve the quality of every healthcare presentation you create.
Contrast means making different elements visually distinct so the audience instantly recognizes what is most important. If two elements are different, make them very different — not just slightly different.
Alignment means every element on the slide should have a visual connection to another element. Nothing should be placed arbitrarily. Strong alignment creates invisible lines that guide the viewer's eye through the content in a logical path.
Repetition means using the same visual elements throughout your presentation: the same fonts, colors, bullet styles, image treatments, and layout patterns. Repetition creates a sense of unity and professionalism — it tells the audience that all slides belong together.
Proximity means related items should be placed near each other, and unrelated items should be separated by whitespace. Proximity creates visual groupings that help the audience understand the logical structure of your content without reading every word.
| Principle | Definition | Healthcare Example | Common Mistakes |
|---|---|---|---|
| Contrast | Make different elements visually distinct to establish hierarchy | Large, bold navy title over smaller body text; a bright teal callout box for safety warnings | Using similar font sizes for title and body; low-contrast color combinations |
| Alignment | Every element should have a visual connection to other elements | All body text left-aligned to the same margin; images snapped to grid using Align tools | Objects placed "approximately" in position; mixing alignment types on one slide |
| Repetition | Use the same design elements consistently throughout | Same two fonts on every slide; navy headings and teal accents across all training slides | Using a different font or color scheme on each slide; inconsistent bullet styles |
| Proximity | Group related items together; separate unrelated items with whitespace | Procedure steps grouped into logical phases; captions placed directly under images | Heading equidistant between two text blocks; all content crammed together |
Healthcare Connection: Compare two versions of a "Patient Check-In Procedure" slide. Version A has a small title in the same font as the body, text scattered across the slide with inconsistent alignment, six different colors, and bullets with no grouping. Version B has a large bold navy title, left-aligned body text, a consistent blue-and-teal palette, and procedure steps grouped into three logical phases separated by whitespace. Version B is instantly more readable — that is the power of CARP.
Beyond the CARP principles, two additional guidelines are essential for creating clear, effective slides: the 6x6 rule for text quantity and color theory for visual communication.
The 6x6 rule is a widely cited guideline for limiting text on presentation slides: use no more than six bullet points per slide and no more than six words per bullet. While strict adherence is not always practical, the underlying principle is critical — slides should support your message, not replace it. Your slides are a visual aid; the detailed explanation comes from you, the presenter, or from the narration track in a self-running presentation.
Why does this matter in healthcare? Consider a training slide about medication safety. If you place an entire paragraph about each safety step on the slide, the audience will read the slide instead of listening to your explanation. Their attention splits, and retention drops. Instead, use short, keyword-driven bullets on the slide and expand on each point verbally:
The abbreviated bullet prompts your talking point without overwhelming the slide. Detailed information belongs in your speaker notes or printed handouts.
Color communicates meaning before anyone reads a word. In healthcare contexts, certain colors carry strong associations that you can leverage — or accidentally misuse:
Trust, professionalism, stability. Most common in healthcare branding.
Health, growth, safety. Use for positive outcomes and success messages.
Modern, clean, calming. Great as an accent color that adds energy.
Warmth, optimism, human connection. Effective for callouts and highlights.
Urgency, danger, errors. Reserve for critical warnings only — never decorative.
Breathing room that prevents visual overload. Use generous whitespace.
Never rely on color alone to convey information. Someone who is color-blind may not distinguish between red (danger) and green (safe) without additional cues like icons, labels, or patterns. WCAG 2.1 AA standards require a minimum contrast ratio of 4.5:1 for normal text and 3:1 for large text. PowerPoint's Accessibility Checker flags low-contrast combinations automatically.
Healthcare Connection: A clinic quality coordinator creates a dashboard slide showing patient satisfaction metrics. She uses navy for the slide header, teal for above-target scores, gold for at-target scores, and soft coral for below-target scores. Each score also includes an upward arrow, checkmark, or downward arrow icon so the meaning is clear to viewers who cannot distinguish the colors — meeting both design and accessibility standards.
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The Slide Master is the behind-the-scenes control center for your presentation's design. Changes made on the Slide Master automatically apply to every slide in the presentation, making it the most powerful tool for ensuring consistency and saving time. For healthcare organizations that produce many presentations — training sessions, department reports, patient education materials — a well-designed Slide Master is essential for maintaining professional branding.
Navigate to View > Slide Master to enter Slide Master view. On the left, you will see a hierarchy of slide thumbnails:
In Slide Master view, select the large Slide Master thumbnail and make your global changes:
Place the clinic or university logo in a consistent position (typically the bottom-right or top-left corner). Because it is on the Slide Master, the logo appears on every slide automatically. This ensures branding consistency across all 30, 50, or 100+ slides without any manual repetition.
Select Fonts on the Slide Master tab to choose a heading font and body font that match your organization's branding. For UMA presentations, this might be Merriweather for headings and Roboto or Calibri for body text.
Select Colors to select or customize a theme color palette. Map your organization's brand colors to the accent positions so every chart, SmartArt, and shape automatically uses the correct colors.
Add slide numbers, dates, or footer text (such as "Confidential – Internal Training Only") that appears on every slide. Apply a background color, gradient, or subtle pattern that creates the right mood without competing with content.
If the built-in layouts do not meet your needs, create a custom layout. In Slide Master view, select Insert Layout on the Slide Master tab. A new blank layout appears in the hierarchy. Add placeholders by selecting Insert Placeholder and choosing the type (Content, Text, Picture, Chart, Table, SmartArt, Media, or Online Image). Position and size the placeholders, then rename the layout by right-clicking and selecting Rename Layout.
Custom layouts are valuable when your organization uses a recurring slide format. For example, a healthcare training department might create a custom layout called "Case Study" with a large picture placeholder on the left for a patient scenario image, a text placeholder on the upper right for the description, and a content placeholder on the lower right for discussion questions.
When you have finished editing, select Close Master View on the Slide Master tab to return to Normal view. All slides in your presentation now reflect the changes you made. Any new slides you add will inherit the updated Slide Master design and have access to your custom layouts.
Healthcare Connection: A clinic administrator creates a branded Slide Master for the organization: the clinic's logo in the bottom-right corner, a navy (#1d6ba6) header bar at the top of every slide, Merriweather font for headings, Roboto for body text, and a custom "Case Study" layout with a patient scenario structure. She saves this as a .potx template file. Now every staff member who creates a presentation starts with consistent, professional branding — no manual formatting required.
Creating great slides is only half the job — delivering the presentation effectively is equally important. PowerPoint provides tools that help you prepare, practice, and deliver with confidence. For healthcare professionals who present to colleagues, patients, or leadership, these tools make the difference between a nervous, disorganized delivery and a smooth, professional one.
Presenter View is a dual-screen feature that shows the audience the slide show on one screen (typically a projector or monitor) while showing the presenter a private control panel on their own screen. To enable Presenter View, go to Slide Show tab and check Use Presenter View.
When you start the slide show, the audience sees only the current slide in full screen, while your screen displays:
Speaker notes appear in a resizable text area on your screen, eliminating the need for printed note cards. Effective speaker notes should include:
Presenter View includes interactive tools for your presentation:
Subtitles toggle – Enable real-time subtitles that display your spoken words at the bottom of the audience's screen, supporting accessibility and multilingual audiences. This feature is especially valuable in healthcare settings with diverse patient populations and staff.
The Rehearse Timings feature (Slide Show tab > Rehearse Timings) lets you practice your presentation while PowerPoint records how long you spend on each slide. A small timer appears in the upper-left corner as you advance through the slides at your natural pace.
Rehearsal tips for healthcare presentations:
Healthcare Connection: A charge nurse presents a hand hygiene compliance update to her unit. She uses Presenter View to reference her speaker notes (including CDC compliance statistics and departmental data) without turning away from the audience. The timer in Presenter View helps her stay within the 15-minute slot before shift change. After the presentation, she uses the pen tool to circle a specific area of the compliance chart in response to a colleague's question.
Presentations live beyond the slide show. Healthcare professionals frequently need to print handouts, export files in different formats, and follow professional etiquette standards for effective delivery. This section covers the final steps that take your presentation from the screen to the audience.
Navigate to File > Print to access PowerPoint's print options. Under Settings, the Print Layout dropdown offers several formats:
PowerPoint can export your presentation in multiple formats to meet different distribution needs:
Creates a non-editable document that preserves your exact layout. PDFs are ideal for emailing to staff, uploading to a learning management system, or posting on a clinic intranet. Every viewer sees the same design regardless of whether they have PowerPoint installed.
Exports the presentation as a video file with your recorded narration and slide timings. Choose from Ultra HD (4K), Full HD (1080p), HD (720p), or Standard (480p). Videos can be uploaded to YouTube, a clinic's website, an LMS, or played on waiting room screens.
A special format that opens directly in Slide Show mode (no editing interface). Perfect for kiosk-style displays where you want viewers to see only the presentation, not the editing tools. Ideal for break room displays or unattended lobby presentations.
Animated GIF exports slides as a looping animation. Useful for embedding a brief visual overview in an email or web page. Images (JPEG/PNG) export each slide as an individual image file, useful for social media posts, website content, or incorporating slides into other documents.
| Export Format | Extension | When to Use in Healthcare |
|---|---|---|
.pdf | Email distribution to staff, LMS uploads, patient handouts, clinic intranet posting | |
| Video (MP4) | .mp4 | Self-paced LMS training modules, waiting room displays, patient portal education videos |
| PowerPoint Show | .ppsx | Kiosk displays in lobbies or break rooms, unattended self-running training loops |
| Animated GIF | .gif | Email newsletters, internal communications, brief visual summaries of processes |
| Images | .jpg / .png | Individual slides for social media, website content, embedding into Word documents |
| Notes Pages | Paper / PDF | Presenter scripts, training documentation for compliance files, detailed reference |
Professional presentation delivery goes beyond the slides themselves. Follow these etiquette guidelines for healthcare settings:
Healthcare Connection: After completing a staff training presentation on the new patient intake process, the training coordinator exports the presentation as a PDF for the clinic's shared drive, prints 3-per-page handouts with note-taking lines for attendees, and saves a .ppsx version to display in the break room. She also exports a 1080p MP4 video with narration for remote employees to view through the LMS on their own schedule.
For each poorly designed healthcare slide scenario below, identify the CARP principle being violated and select the correct fix.
Slide 1 — Low Contrast Text: A slide with light gray text on a white background — the audience can barely read the patient safety statistics.
Incorrect. Italic text does not address the contrast problem — the text is still nearly invisible.
Correct! Dark text on a light background ensures readability. The CARP principle of Contrast says elements that are different should be obviously different. Dark gray on white achieves the required 4.5:1 contrast ratio.
Incorrect. A decorative border does not address the contrast problem — the text is still unreadable.
Slide 2 — Misaligned Elements: Bullet points, headings, and images are scattered randomly across the slide with no consistent alignment.
Correct! The CARP principle of Alignment — every element should have a visual connection to other elements on the slide. Left-alignment creates clean, predictable lines that guide the reader through the content.
Incorrect. Centering everything creates its own alignment problem, particularly for long text blocks that are hard to read when centered.
Incorrect. A colorful background draws attention away from content without fixing the misalignment problem.
Slide 3 — Text Overload: A slide packed with 8 paragraphs of dense text copied directly from a policy document — no one can read it during a presentation.
Incorrect. Making the font smaller makes the problem worse — even more text, even smaller, even harder to read from the audience.
Correct! The 6x6 rule says no more than 6 bullet points with no more than 6 words each. Slides are visual aids, not documents — keep text minimal and speak the details verbally or move them to speaker notes.
Incorrect. Reading the slide aloud is a delivery problem, not a design fix. The dense text still needs to be reduced.
Slide 4 — Inconsistent Fonts: The title uses Arial, bullets use Times New Roman, the footer uses Calibri, and a callout uses Impact — four different fonts on one slide.
Incorrect. Adding more fonts increases visual chaos. The goal is consistency, not variety.
Correct! The CARP principle of Repetition — use consistent fonts throughout. The professional standard is a maximum of 2 fonts: one for headings, one for body text. This creates visual unity.
Incorrect. Random fonts on each slide violate the Repetition principle and make the presentation look unprofessional and disorganized.
Slide 5 — Poor Proximity: A chart title is far from its chart and close to an unrelated image. Related items appear disconnected while unrelated items look grouped.
Incorrect. Drawing lines is a workaround that adds clutter. Proper spatial arrangement communicates relationships without extra visual noise.
Correct! The CARP principle of Proximity — related items should be grouped together. Physical closeness implies a relationship between elements. A chart title must be near its chart, not floating near an unrelated image.
Incorrect. Making all elements the same size eliminates contrast and hierarchy without fixing the proximity problem.
Lesson 3.3 Summary