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A (re)Visit to an Old-Fashioned Doctor

Sensible Medicine

I read many of his essays including Hyposkillia and Medical Education on the Brink. Old-fashioned doctors spend whatever time it takes to obtain a good medical history and physical examination. The history and physical exam is not something to be fetishized but something to be recognized as a time saver.

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Friday Reflection 25: The Advice I’d Like to Give a Student Entering Medical School

Sensible Medicine

One of the many privileges of being a physician, and a professor of medicine at a “prestigious” medical school, is getting to talk to young people who are considering a career in medicine. After taking his history and doing his physical exam, I recommended HIV testing. He would decline.

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Friday Reflection 44: Diagnostic Enigma

Sensible Medicine

The Medical Detectives by Berton Roueche is a beloved classic. Lisa Sanders has made a career -- beyond her medical practice – of engaging descriptions of struggles to solve difficult cases. Many non-medical friends have asked me to recount interesting cases to them. 2 Common puzzles test diagnostic reasoning.

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Friday Reflection 27: The Poor Historian

Sensible Medicine

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.

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Friday Reflection 31: 30 Years and Counting

Sensible Medicine

MT’s multiple medical problems and poor functional status made him a poor candidate for any therapy. I’ll admit that I considered this near-delusional rambling, especially when I factored in his lack of symptoms and normal physical exam. The tumor progressed slowly and, month after month, he weakened but held on.

Hospice 272
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What to Expect After Medical School

Accepted Blog

For this section of our Med School Admissions: What You Need to Know To Get Accepted series, I’ll provide a brief rundown of what happens after you graduate from medical school. There will always be new procedures, new medications, and new lab tests to learn about. urology), while medical specialties (e.g.,

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What Are SOAP Notes and How Do You Write Them?

Valant

The information recorded may include symptoms, medical history, test results, diagnoses, treatment plans, prescription medications, and progress made at appointments. Progress notes are where you record information about treatments applied and how the patient responds to treatment.