The Medical H and P (Part 1 of 2)

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Күн бұрын

An overview of the medical history and physical, including its format, organization, and content. A comparison between the oral presentation and written note is also included.

Пікірлер: 31

@ado75 7 ай бұрын

As an ANP in training, I appreciate the work that went into this. Many thanks.

@isakelockettholloway4367 9 жыл бұрын

Thank you for this. You give a thorough breakdown for each part of an H&P which makes it easy to grasp and retain. I would love more clinical lectures such as this.

@mahmudhasan6696 8 жыл бұрын

excellent presentation.

@acb101285 10 жыл бұрын

Thank you for this video. My medical school never formally taught us how to present our findings. It has resulted in a very stressful first clinical year. The topic choices for your videos have been great. I'll be watching all your future videos.

@sebastianalonso2127 3 жыл бұрын

I guess it's kinda off topic but do anybody know a good place to stream new series online ?

@lifecoach247 10 жыл бұрын

Thank you so much Dr. Strong. Your lectures are a delight. Please post more lectures on clinical management topics.

@bigpastor232 2 жыл бұрын

This is an awesome presentation and has stood the test of time

@heminhimdad 2 ай бұрын

Amazing work, much thanks

@SarahChicharro 2 жыл бұрын

I really find this helpful. Our program requires 3 generations under family history.

@yuchenjiang7338 4 жыл бұрын

Wonderful video. Thank you so much from an incoming PGY-1

@nikhilramnarine 8 жыл бұрын

Thank you so much for this.

@liasosa4100 3 жыл бұрын

Well presented, thank so much!

@sunving 4 жыл бұрын

Thank you Dr Strong. It is important video but it could have split into 2 to keep attention span. Lecture like this trigger PTSD for me. :)

@lisawu7198 6 жыл бұрын

super great !

@Daniel-rk2qz 7 жыл бұрын

Where was this when i was going through my rotations ahhh!!!!

@alicialanier8667 8 жыл бұрын

do you have templates anywhere for newbies?

@Evan-rb1oh 4 жыл бұрын

hi Dr. Strong, i've seen a number of different ways to write the H&P especially on the Assessment and Plan sections. For example, some do not have the summary statement, and instead uses that for the Assessment section, along with the differential diagnoses and explanations. They then have a separate section for "Plan". Others I've seen combine assessment and plan together, and have a format somewhat similar to what you covered. As my rotations come up, I would like to have a consistent way of approaching the H&P, so i am wondering if you have any advice on this. Thank you!

@StrongMed 4 жыл бұрын

You are correct that there is no standardization of how to convey the assessment and plan, which I've always found bizarre, given that the A&P is the more important part of the note (and honestly, the only part of the note that most people pay attention to). About 5-6 years ago, I did a survey of a half dozen popular clinical skills textbooks that discussed the H&P, and not one of them gave any significant guidance on the format of the assessment and plan. My only recommendation is to ask at the beginning of each rotation if there is a preferred format for notes, and follow that to the letter, but even that can be problematic. For example, for a while our medicine clerkship had distributed a sample H&P on day 1 that was in a perfectly fine and defensible format, but which differed from what every medicine intern does in real life.

@harenderbaisoya 8 жыл бұрын

Sir could you tell me which edition of Harrison's principle of internal medicine is best and easy to comprehend? Currently I am reading 19th edition but i find it very difficult and also cumbersome because some of important topics are to be read from E book.

@StrongMed 8 жыл бұрын

+Harender Baisoya I don't recommend any edition of Harrison's. Regardless of the authors' and editors' intent, it is more of a reference book than a textbook - that is, it covers diseases not problems. A great medicine text should do the latter at least as much as the former, and Up To Date is a better reference than Harrison's.

@StrongMed 8 жыл бұрын

+Harender Baisoya 1 caveat is that I haven't examined a copy for several years (I.e. the most recent edition may be much different than prior ones). Other people should feel free to offer their opinion here too!

@harenderbaisoya 8 жыл бұрын

So sir which textbook would you recommend or where and how should we read internal medicine? One of my teacher says to read 16th edition is the best he ever came across. Kindly throw some light!!

@bdreamy1807 2 жыл бұрын

I think Dr Eric strong made it clear that Harrison is structured as a disease reference which is apparently true. I would say if you're a med student it is essential you understand the disease extensively then you can appreciate other clinical based books or apps like Up to date.