bioguy
Forum Guru
Topics: 40
Posts: 747
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whats this??? found it in some 2008csmanual, which i have no idea where i got from
Telephone patient encounters begin like all encounters:
you will read a doorway instruction sheet that
provides specific information about the patient. As
with all patient encounters, as soon as you hear the
announcement that the encounter has begun, you may
make notes about the case on the provided blank
paper before entering the examination room.
When you enter the room, sit at the desk in front of
the telephone.
• Do not dial any numbers.
• Push the speaker button above the yellow dot
on the phone to be connected to the patient or
the patient’s caregiver.
• You will be permitted to make only one
phone call.
• Do not touch any buttons on the phone until
you are ready to end the call – touching any
buttons may disconnect you.
• To end the call on a phone case, press the
speaker button above the yellow dot.
• You will not be allowed to call back after you
end the call.
Obviously, physical examination of the patient is not
possible for telephone encounters, and will not be
required. However, for these cases, as for all others,
you will have relevant information and instructions
and will be able to take a history and ask questions.
As with other cases, you will write a patient note after
the encounter. Because no physical examination is
possible for telephone cases, leave that section of the
patient note blank.
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| bioguy
Forum Guru
Topics: 40
Posts: 747
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oh, it must be from the ecfmg website, the manual
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| bioguy
Forum Guru
Topics: 40
Posts: 747
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ok, the question is - did anyone face this in their test?
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| paheli
It'sAllAboutGoodKarma
Topics: 170
Posts: 2,215
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What the heck?? OMG!!  Does this happen?
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| CocaCola
Forum Guru
Topics: 35
Posts: 908
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Yes... i got a telephone case... pretty easy and straight forward... pretty much the same as the other cases...
ask as many questions as possible...
don't give any differencials... you have not examined the patient!
if it seems emergent - tell the patient to call 911 and you will meet them at the hospital...
if its non-emergent, let the patient know they must come to see you as soon as they can...
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There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!
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| paheli
It'sAllAboutGoodKarma
Topics: 170
Posts: 2,215
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Thanks, CocaCola, that was reassuring. Do you give any treatment at all on the phone,. since you've not examined yet?
But, what will these people come up with next? Communication via satellite to a patient on Mars??!!! My nerves are fraying..........
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| CocaCola
Forum Guru
Topics: 35
Posts: 908
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actually the phone cases isn't a new thing... had my exam about a year ago...
don't give any diff dx or tx options to your patient because you didn't do a physical
exam (although i do think i wrote differencials on my patient note - can't remember)
dont be nervous - the exam isn't difficult... its about efficiency and communication... nothing to memorize... practice is really the key to passing... once you feel comfortable, you are ok...
good luck guys!
___________________
There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!
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| titly
Forum Elite
Topics: 17
Posts: 290
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yeah even i had a telephone encounter. was cool . just ask the entire history. you get a lot of time to ask the history coz u dnt have to perform any physical examination. advice the caller to bring in the patient for physical xam so dat u can decide wats wrong with the patient.
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we spend our days waiting for the ideal path to appear in front of us, but, what we forget is paths are made by walking, not by waiting. keep walking................................
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| paheli
It'sAllAboutGoodKarma
Topics: 170
Posts: 2,215
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Thanks, CocaCola and titly.
P.S. bioguy, sorry for hijacking your thread.
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| eta2008
Forum Newbie
Topics: 4
Posts: 19
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thanks for the info guys, it would have been a big surprise had i not read about it here.
thanks again, and good luck.
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,208
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Read the csblog, there's a neumonic for diarrhea in an infant on a phone case, very good.
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When men make the rules, God decides the exceptions.
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| aqua
Forum Senior
Topics: 19
Posts: 63
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yeah heard it is the easiest encounter because you have plentyyyyyyyyyyyy of time for everything and no physical exam 
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| paheli
It'sAllAboutGoodKarma
Topics: 170
Posts: 2,215
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Does everyone get one of these, or is it randomly assigned?
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| bioguy
Forum Guru
Topics: 40
Posts: 747
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i hate talking on the phone. in my cell phone family plan, i use may be 10 to 12 minutes talk time, and the remaining 490 minutes goes to my better half, who is better at talking on the phone
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| njcjzy
Forum Guru
Topics: 16
Posts: 737
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But you need to prepare for that, even though you hate talking on the phone.I got a phone case too. I loved that because you saved time on doing and writing physical exams. GL.
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,208
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Not everyone gets it. 
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When men make the rules, God decides the exceptions.
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