pusha
Forum Newbie
Topics: 9
Posts: 23
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HERE ARE MY SUGGESTIONS
FIRST KNOCK KNOCK.. ..
NEXT ENTER WITH SMILE
NEXT HELLO MR. .......... OR MIZ(NEVER MISS OR MRS IN AMERICA)............ PT NAME.....
NEXT GOOD MORNING OR GOOD EVENING I AM DR. .............
NEXT I WILL BE TAKING CARE OF U TODAY,I WILL BE ASKING FEW QUESTIONS AND
THEN DO A BRIEF PHYSICAL AND THEN WE CAN DISCUSS ABOUT UR DIAGNOSIS AND TREATMENT OPTIONS, MEANWHILE IF U HAVE ANY QUESTIONS FEEL FREE TO ASK.
NEXT DRAPE THE PATIENT AND ASK WHAT MADE YOU COME TO THE HOSPITAL
I KNOW ITS BIT LENGTHY..........
I THINK IT WILL BE BETTER IF U PEOPLE SHARE UR WAY OF INTRODUCTION SO THAT WE CAN PICK THE ONE BEST SUITES US
PLEASE CONTRIBUTE IN DETAIL I FEEL THIS IS THE MOST IMPORTANT AND VERY GOOD OPPORTUNITY TO MAKE GOOD FIRST IMPRESSION AND IT IS SAME TO ALL PATIENTS
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| snowdrops
Forum Senior
Topics: 6
Posts: 149
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This is my way:
Write down Mr/Mz xxx, age, gender, vs, and cc.
At the right upper corner of blue paper, write down 3-4 DDs.
Write down LIQOR AAA and PAM HITS RUGS FOSS, and give enough space between them.
Knock, knock, 3 sec, then go in.
Hello, Mr/Mz xxx, I am Dr. xx. Shake hands.
I am the physician for you today, I will ask you a few questions and take physical exam. Is that OK for you?
Let me cover you up first.
CC: What causes you coming in today?
Can you tell me more about that?
Ask questions from LIQOR AAA, then ask a few questions from DDs.
PAM HITS RUGS FOSS Qs.
PE
Close up: include summary, explain diagnosis and test order, counselling, ask patients if they have Qs, assure patient, shake hands, say 'Take care.", then leave the room.
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| AnneGermany
Forum Guru
Topics: 37
Posts: 593
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I know PAM HUGS FOSS.
Please tell me, what is HITS and RUGS?
Thank you?
Hello Mr. XX, I´m Dr. XX, nice to meet you. I will be your physician for today and I´m here to ask you some questions and do abrief physical exam if it´s okay with you.
Let me make you more comfortable first (drape).
Do you mind if I take some notes?
Ok, how can I help you today?
LIQORAAA, PAMHUGSFOSS and SODA.
Summarize and counsel.
Do you have any questions?
I´m gonna wash my hands and we can go on to the PE if you´re okay with it?
PE.
Thank you for letting me examine you. Let´s sit down so I can give you my impression.
Summarize diagnoses and work up. Counsel if necessary.
Do you have any questions?
Okay, Mr. XX I´ll contact you with the results. If you have any questions before, please feel free to ask me. It was nice meeting you.
Shake hands.
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| snowdrops
Forum Senior
Topics: 6
Posts: 149
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I learned this mnemonic for Grazie.
PAM HITS RUGS FOSS.
HITS stands for Hospitalization, Trauma, Surgery. For I, I think it is Illness, but maybe Immunization is better.
RUGS stands for Review of GU, GI and Sleep.
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| AnneGermany
Forum Guru
Topics: 37
Posts: 593
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Thanks!
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| pusha
Forum Newbie
Topics: 9
Posts: 23
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hi anneGermany, i think everybody should suitably modify PAMHUGS FOSS
HERE IS my way after PAMH most imp.thing life! to ask everybody EATING(APPETITE) AND SLEEPING
and 1 2 3. 1 FOR URINATION 2 FOR BOWEL MOVT. 3.FOR MENSTRUAL HISTORY IN FEMALES
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| bioguy
Forum Guru
Topics: 69
Posts: 1,000
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The order of PAM..... doesn't matter.
Introduction can be personalized. you don't have to strictly follow someone else's style. do what is comfortable to you.
ultimately whats important is - you should have clear mind and thoughts flowing in front of the SP. avoid blanking out. so make life as simple as possible.
___________________
ARE YOU A ROCKNROLLA?
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| johnson
Forum Newbie
Topics: 1
Posts: 3
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Can some pls tell me what each letter stands for in LIQORAAA, PAMHUGSFOSS
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| AnneGermany
Forum Guru
Topics: 37
Posts: 593
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location, intensitiy, quality, onset, radiation, alleviating, aggravating factors,
associated symptoms
PMH, allergies, meds, heart & lungs, urinary, GI, sleep, family history, ob/gyn, social history, sexual history
you can modify these however you want.
also look for the mnemonics thread.
GL!
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| AnneGermany
Forum Guru
Topics: 37
Posts: 593
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H can also be "hospitalization"
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| arlete
Forum Fanatic
Topics: 50
Posts: 3,566
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Just a tip: when you introduce yourself, say "nice to meet you", wait for the answer. Give the patient a few seconds to get used to your face before going "what brought you here", etc. You enter with a smile, but if the patient is in pain, undo it right away! If he's in a bad mood, ignore it, keep the smile for a little while.
___________________
Now it's on God's hands. I've done my best!
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| sackatdoc
Forum Guru
Topics: 8
Posts: 602
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everybody seems so keen to ask what brings you here,i feel why to bug this already tired SP with same question over and over,so i suggest saying- i have learned from doorway info.....,is that your prob....etc so i mean cut the monotony, make SP INTERESTED IN YOU, i am thinking on those lines, anybody's comments for this idea i'd love to read,Thanks
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| arlete
Forum Fanatic
Topics: 50
Posts: 3,566
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I think for daily practice it's OK, but for this test, you HAVE TO start the encounter with an open question, not a leading one. I think you have to forget the SP is doing this over and over again, and pretend he's a real patient and you are the only doctor seeing him. You don't gain points for being original...  Of course, you'll bring your personal spice to it, but don't think too much of it.
___________________
Now it's on God's hands. I've done my best!
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| sackatdoc
Forum Guru
Topics: 8
Posts: 602
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thanks! yeah this was something i wanted to hear,something to enlighten me about things the way they are supposed to be happening, and as i have seen on this forum, it could have not come from anybody other than you Arlete, i like your ideas all over the forum, keep the good work up!
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| arlete
Forum Fanatic
Topics: 50
Posts: 3,566
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That is so sweet, sackatdoc... Thanks...
Good luck!
___________________
Now it's on God's hands. I've done my best!
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| sackatdoc
Forum Guru
Topics: 8
Posts: 602
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GOOD LUCK to you as well,you seem to me a very genuine and reasonable person, i'll be needing alot of your advice during my journey for reaching residency, so be there, sorry for being so demanding, jus couldnt help not letting you know all of this,thanks
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| arlete
Forum Fanatic
Topics: 50
Posts: 3,566
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___________________
Now it's on God's hands. I've done my best!
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| sackatdoc
Forum Guru
Topics: 8
Posts: 602
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