Patient Presentations
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 27 March 2016
⏱️ 8 minutes
🧾️ Download transcript
Summary
Patient presentations are the single most important skill to develop for your Emergency Medicine rotation.
General Principles
* Stay focused, thorough, and organized* Write out the basic 8-step presentation for reference
The 8-Step Patient Presentation
* Summary statement* Demographics* Risk factors/Past medical history* Chief complaint* History* OPQRST* Try to give at least 4 descriptors* This is for billing reasons* Pertinent positives/negatives* Give approximately 5 most pertinent symptoms* Vitals* Physical exam* Give approximately 3 MOST pertinent findings * Differential diagnosis* Briefly argue for/against* Include both most likely and most dangerous* Testing plan* Treatment plan* This is the most commonly forgotten step of presentation
Additional Reading
* Abdominal Pain Presentation – History (EM Clerkship)* Abdominal Pain Presentation – Exam, Plan, and Disposition (EM Clerkship)* Patient Presentations in Emergency Medicine (EMRA)
Transcript
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| 0:00.0 | Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of |
| 0:07.1 | endless charting once you become a doctor? Do you think that doctors should be spending more |
| 0:11.9 | time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a |
| 0:20.4 | secure, hippocompliant scribe that anybody can use. |
| 0:24.7 | Focus your energy on what matters, providing good patient care. |
| 0:29.5 | Use coupon code EM50 to save 50% the first month you try it, |
| 0:34.1 | and you can cancel at any time if you decide it's not right for you. You can learn more |
| 0:38.9 | at www.gitfreed.a.i. Hello, med students. My name is Zach Olson, and today I'm going to give |
| 0:50.8 | you the approach to patient presentations so that you can demolish your |
| 0:55.6 | emergency medicine clerkship and get that coveted top one-third ranking in your slow. |
| 1:01.4 | In this episode, there's one thing that I really need you to understand. |
| 1:05.8 | Listen up. |
| 1:06.9 | Your patient presentations are the single most important skill that you need to develop as a medical student on this clerkship, if not every clerkship. |
| 1:17.5 | You just cannot get a top one-third ranking on your slow if you don't master some sort of organized, thorough, and focused presentation style. |
| 1:28.0 | It doesn't matter how compassionate you are, how smart you are, how amazingly excellent your |
| 1:33.8 | bedside manner is, because your attendings are busy and they're probably not going to notice |
| 1:38.7 | that. |
| 1:39.7 | That's just the truth. |
| 1:41.1 | That's just the way things work. |
| 1:42.8 | Now, there are a lot of different ways to do patient |
| 1:45.0 | presentations, but what you need to develop is an organized, thorough, and focused style. The version |
| 1:51.9 | I'm recommending is based on the Society for Academic Emergency Medicine's paper. This was a paper |
... |
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