Presenting the Patient Flashcards
4 things to consider before doing oral presentation
MAPO
message
audience
purpose
occasion
the assessment and plan should include
what you think is worng, what you want to do about it and why
follow up presentation
pts name, DOA, hospital day #, postop day #
recap major pt issues that have been previously presented and whats changed
review present illnes, PE, diagnosis
new findings, lab tests, diagnostic procedures, changes in meds, assessment and plan for day
when presenting at bedside the student should/shouldn’t involve pt
should
basic template for oral presentation
pt description chief complaint/HPI ROS medical, social, and fam history PE labs and tests assessment and plan
past med hx/ past surgical hx
chronic diseases previous hospitalizations infectious diseases immunizations health maint surgeries
for follow up presentation meds/allergires
just give any changes in meds
ROS
most attendings want pertinent ROS
can incorportate into HP
start the PE with ____
state pertinent ____ and ___
state ___ and ____
vitals
+/-
latest labs and tests and not what needs to be done today
PE/labs/other tests
include all significant ab sindings and any normal dindings that contribute to the diagnosis
give brief gen description of pt including physical appearance
touch on each major system
for assessment formulte diff diag
most-least likely
support/reasoning/linkage
plan-confirm dx, or address known dx
plan considerations
meds, labs, tests, omt, f/up and referral, guidance/counseling
