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Often, the inability of a doctor to obtain a history is actually a physicalexam 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.
These included: A clinician’s lack of ability to conduct a physicalexam (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.
Tasks like prior authorizations, quality reporting, messaging patients, and EHR documentation often overflow into after-clinic work. Order necessary labs or imaging in advance when you schedule a patient for their next visit. Pro Tip : Schedule regular team meetings to discuss task delegation and workflow optimization.
Include the date, and what rotation you're on in residency, which is important for scheduling. Classically, it'll be: history of present illness, physicalexam, workup (pertinent labs, imaging, etc.) Make sure you never plagiarize and keep your sources organized at the bottom of your document.
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