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Misc Handouts

EKG Session with Dr. Dellsperger

Medical Mysteries:

RIME

Reporter:

  • Accurately gathers and communicates clinical facts
  • Able to perform good history and physical, reliably distinguishing normal from abnormal
  • Confident in abilities to label new problems
  • Demonstrates consistency in bedside skills

Interpreter:

  • Able to prioritize patient problems
  • Offers an appropriate differential diagnosis
  • Follows up tests, applying results aptly to specific patients
  • Develop skills in selecting clinical findings which support possible diagnosis

Manager:

  • Proposes and selects appropriately among multiple diagnostic and therapeutic options for the patient
  • Tailors treatment plan to fit patient circumstances, taking into account concurrent diagnosis and treatments, psychosocial factors, and patient preferences

Educator:

  • Reads deeply and shares new learning with others
  • Defines important questions to be answered and has the drive to look for and evaluate evidence needed to guide therapy
  • Serves an effective and accurate source of information for patients and families

Ethics

PLOG

Clinical Evaluation Exercise (CEX)

This exercise is conducted during the students Inpatient Phase II by the attending physician and contributes to the student's final grade. The inpatient or outpatient selected for the exercise must be unknown to the student. No more than one hour should be designated for the evaluator to observe the student interviewing the patient and performing a physical examination. During this time, the evaluator should remain inconspicuous and not interrupt so that the patient relates primarily to the student. However, before concluding the session the faculty member should instruct the student by going to the patient to elicit or clarify the history and demonstrate proper physical exam technique.

After leaving the patient, a few minutes should be designated for a brief discussion of the student's history and physical examination, and initial diagnostic impression.

During Phase 1 your attending physician will conduct a practice CEX to give you feedback and an opportunity to practice this exercise.

For your review, a sample CEX form

Patient Safety

Disease Management

Skills Session