The Acute Mind

Back to Basics

Simple framework for clerking

BG (age, relevant PMH, functional status)

PC (only primary complaint / symptoms)

Tests (only relevant obs, bloods, scans)

History & Exam

Impression & Plan

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Don’t spend ages documenting / typing streams of data (AI in the imminent future will do most of data gathering / documentation)

Focused clerking (not full system clerking)

Documentation short & sweet (handover < 2mins)

 

SPEND MORE TIME REVIEWING THE PATIENT!