Let us start with the first post on this blog.
In my opinion this is probably one of the most important one for the first year residents/medical students rotating through the EDs who are learning how to work up a patient and get a good history. Also senior faculty and registrars can use this information to streamline and organise the process of history taking/presentation by junior physicians.
Well, We all have seen, patients frequently changing their answers to the same questions when asked by different doctors (especially consultants/attendings). I think this depends a lot on the way a question is framed. Remember, patients are not trained to give history, but we are trained to take a good history, So it is our responsibility to get a short history pertinent to their current visit.
Those of us who have worked for a good amount of time, also know that all the emergency physicians suffer from attention deficit to some extent and we have really really short attention spans and we always work under time constraints. So listening to a complete medical school history kind of is not possible in emergency room. So what is the solution? "A short and succint history" !
http://onlinelibrary.wiley.com/store/10.1111/j.1553-2712.2008.00145.x/asset/supinfo/ACEM_145_sm_DataSupplementS1.pdf?v=1&s=4ea7171f6805460892e2b5ce9b7b84f17721d6cc
http://www.saem.org/docs/2012-annual-meeting/the-3-minute-emergency-medicine-medical-student-presentation-a-variation-on-a-theme-pdf-.pdf?sfvrsn=2
Have a good read!
In my opinion this is probably one of the most important one for the first year residents/medical students rotating through the EDs who are learning how to work up a patient and get a good history. Also senior faculty and registrars can use this information to streamline and organise the process of history taking/presentation by junior physicians.
Well, We all have seen, patients frequently changing their answers to the same questions when asked by different doctors (especially consultants/attendings). I think this depends a lot on the way a question is framed. Remember, patients are not trained to give history, but we are trained to take a good history, So it is our responsibility to get a short history pertinent to their current visit.
Those of us who have worked for a good amount of time, also know that all the emergency physicians suffer from attention deficit to some extent and we have really really short attention spans and we always work under time constraints. So listening to a complete medical school history kind of is not possible in emergency room. So what is the solution? "A short and succint history" !
These articles are great resources for learning and teaching how to do short EM presentations focussing on pertinent history and physical examination. They are written from an emergency medicine perspective, cutting the history short without missing the crucial questions.
http://onlinelibrary.wiley.com/store/10.1111/j.1553-2712.2008.00145.x/asset/supinfo/ACEM_145_sm_DataSupplementS1.pdf?v=1&s=4ea7171f6805460892e2b5ce9b7b84f17721d6cc
http://www.saem.org/docs/2012-annual-meeting/the-3-minute-emergency-medicine-medical-student-presentation-a-variation-on-a-theme-pdf-.pdf?sfvrsn=2
Have a good read!
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