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Components of the medical consultation process
(including consults that are):
o
Written consults
o
Phone consults
Presentation skills (across contexts including):
o
Presentation of patient (history, examination,
differential diagnosis, most likely diagnosis,
management plan) in clinical ambulatory settings
o
Hospital ward rounds
o
Educational presentations in both small and large
groups
Appropriate documentation in:
o
Ambulatory charting
o
Admission history and physical exams
o
Hospital progress notes
o
Writing prescriptions including those for narcotics
o
Medico-legal history taking and documentation
o
Workers’ compensation forms
o
Driver’s license medical
o
Insurance forms
o
Documentation of phone calls and advice given
o
Discharge summaries
Discuss areas of responsibility around patient follow-up
(including):
o
Laboratory and diagnostic imaging results
o
Writing consults
o
Visiting inpatients
o
Filling out forms
o
Call responsibilities
o
Patient phone calls
o
Pointers for dictation
Discuss clinical responsibilities
(including):
o
Patient care
o
Continuity
o
Clinic hours
o
Protocols in transfer of care
o
Work ethic and expectations. Examples:
§
stay until all patients are seen in clinic
§
do not leave until work is completed
§
follow-up important issues even if after hours
Reportable presentations:
o
Child abuse
o
Danger to the patient or others
o
Communicable diseases
o
Issues related to driving, flying
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