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C Nnaji
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Decks in this class (3)
Course 1: Introduction
1. Roles in the clinic and scope of scribes
2. New vs. established patients? Two types of clinic visits?
3. How does a patient move through an outpatient clinic visit?
4. Document patient visits
5. Document PMHx
6. Document past surgical history
7. Document family history
8. Document social history
145
cards
Course 2: Chronic Illnesses and the Patient Problem List
1. Why are chronic illnesses concerning?
2. What is hypertension and how is it managed?
3. What is diabetes mellitus and how is it managed?
4. What is hyperlipidemia and how is it managed?
5. What is coronary artery disease and how is it managed?
6. What is asthma and how is it managed?
7. Project list
86
cards
Course 3: The S.O.A.P Note - Subjective
1. What is a SOAP note and how is it structured?
2. What is included in the subjective portion of the SOAP note?
3. What is the chief complaint (CC) and how do we avoid non-billable chief complaints?
4. What is the history of present illness (HPI) and what information does it contain?
5. How is HPI structured?
6. How is the HPI phrased?
7. What is the review of systems (ROS) and what information does it contain?
8. How is the ROS structured?
31
cards
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ScribeAmerica
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