Sensible Medicine

AUGUST 11, 2023

Often, the inability of a doctor to obtain a history is actually a physical exam finding – an extremely non-specific finding, but a finding nonetheless. iii] I have had numerous people appear on my schedule with the chief concern of “chest pain” documented by the nurse.

Medical History 233

Medical History Physical Exams Huddles/Rounds Medication 233

Valant

JULY 24, 2024

Objective : Vital signs, results of physical exams, completion of inventories/instruments, and other actual observations such as the patient’s mood, behavior, appearance, and statements, when pertinent to treatment. Check out Valant’s clinical documentation features to learn more.

Medical History 98

Medical History Physical Exams Vital Signs Documentation 98

Health Populi

AUGUST 25, 2020

These included: A clinician’s lack of ability to conduct a physical exam (75% of older people concerned about this). But a telehealth encounter was seen as more convenient than an office visit by 56% of older people. The study identified several key concerns about telehealth visits, shown in the graphic. 24% had privacy concerns.

Follow-Up 171

Follow-Up Physical Exams Communication Hospital 171

Mobius MD

AUGUST 22, 2024

Most doctors wish they could spend less time documenting care and more time providing it. Let’s review the benefits of mobile medical dictation and help you decide if real-time dictation is the right documentation workflow for your practice. In this way, patient communication doubles as documentation time.

Documentation 40

Documentation Physical Exams Communication Transfers 40

Mobius MD

JANUARY 24, 2024

Medical dictation can shave off hours of documentation time each week if you have the correct workflow. One of the simplest yet least-discussed dictation best practices is to complete your dictation while you’re still in the exam room. Recalling patient details is slow because of the time lag between visits and documentation.

Medication 52

Medication Documentation Follow-Up Physical Exams 52

MedVA

SEPTEMBER 18, 2023

Some people call them “medical assistants,” while others call them “documentation assistants,” and sometimes others call them “typists.” Documentation is important for the health care process and for making sure that bills are correct. Since they are not in the exam room, virtual scribes are less of a bother.

Medication 52

Medication Physical Exams Documentation Teamwork 52

Sensible Medicine

APRIL 6, 2025

Also document behaviors you hope to avoid. Sometimes, this can be demonstrated by something as simple as a thorough physical exam. Emulate You will work with physicians whose practice inspires you. Write down key behaviors and traits that you observe and then strive to emulate these in your own practice.

Physical Exams 290

Physical Exams Huddles/Rounds Patient Safety Diagnostics 290