Sensible Medicine

AUGUST 11, 2023

Many a medical trainee has been humiliated on morning rounds after proclaiming that their presentation was wanting because the “patient was a poor historian.” There is a differential diagnosis for the patient who cannot describe the history of their medical concerns. Sensible Medicine is a reader-supported publication.

Medical History 236

Medical History Physical Exams Huddles/Rounds Medication 236

Valant

JULY 24, 2024

The information recorded may include symptoms, medical history, test results, diagnoses, treatment plans, prescription medications, and progress made at appointments. Plan : Further diagnostic tests and other tasks are included here, along with proposed treatment including patient education, medications, further therapy, and so on.

Medical History 98

Medical History Physical Exams Vital Signs Documentation 98

Health Populi

AUGUST 25, 2020

In the Fear of Going Out Era spawned by the COVID-19 pandemic, many patients were loath to go to the doctor’s office for medical care, and even less keen on entering a hospital clinic’s doors. These included: A clinician’s lack of ability to conduct a physical exam (75% of older people concerned about this).

Follow-Up 171

Follow-Up Physical Exams Communication Hospital 171

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

A virtual medical scribe is someone who writes down what a doctor and patient say and does during an appointment. You don’t need a college degree to be a medical scribe, but you usually do need to be certified. Like a courtroom stenographer, a medical scribe writes down everything that happens during the visit.

Medication 52

Medication Physical Exams Documentation Teamwork 52

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. Mobile medical dictation creates new possibilities for how, where, and when you dictate.

Documentation 40

Documentation Physical Exams Communication Transfers 40

Sensible Medicine

APRIL 6, 2025

Medical students around the country recently celebrated the annual tradition of Match Day, where graduating students learn where they have “matched” for their residency training. They will be the first to be called/paged/alerted when something goes wrong on the medical wards. Also document behaviors you hope to avoid.

Physical Exams 291

Physical Exams Patient Safety Huddles/Rounds Diagnostics 291