How to Present a New Patient Consult
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- čas přidán 30. 06. 2024
- How do you present that new patient on surgery rounds?
This is a skill and you will develop it over time!
You've been called down to the emergency department to see a child with abdominal pain. You take the history, you perform the exam, you review the labs and imaging, establish a diagnosis and you've got a plan.
Now what?
MUST HAVE SURGERY BOOKS
Moore's Clinically Oriented Anatomy citizensurgeon.co/Moore
Netter's Anatomical Atlas citizensurgeon.co/Netter
Schwartz Principles of Surgery citizensurgeon.co/Schwartz
Fischer's Mastery of Surgery citizensurgeon.co/Mastery
Zollinger's Atlas of Surgical Operations citizensurgeon.co/Zollinger
Top Knife (MUST MUST HAVE) citizensurgeon.co/topknife
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In this video I'm going to show you what I think is the most effective way to present patients from the point of view of the listener. This information will be helpful for everyone because "how we present patients" is critical at every level from the student to the intern, chief resident, fellow and attending.
We're going to cover a few clinical cases as well in this video and I'll give you examples throughout the video of exactly what you could say in particular scenarios.
Check out these AMAZING timestamps and fast forward if you need to:
Start 00:00
The Style of Your Presentation 01:14
The Structure of Your Presentation 05:50
REFERENCES
Clinical Examination Talley and O'Conner (MUST HAVE) citizensurgeon.co/Talley
MY FAVORITE SOFTWARE:
Evernote citizensurgeon.co/evernote
SOME RECENT READS
The Miracle Morning by Hal Elrod - citizensurgeon.co/MiracleMorning
Atomic Habits by James Clear - citizensurgeon.co/AtomicHabits
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WHO AM I?
I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!
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DISCLAIMER
While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. If you have medical questions definitely consult a medical professional. Good luck and enjoy!
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Loved the integrity. As a surgical resident, nothing is more important than trust in a team. The attending trusts me with consults. I trust the interns with floor pts. etc etc. Without trust, the system falls apart. "I don't know" is the the hardest answer to give but the one that's never wrong (although maybe add in "...but I'll do that next step.")
Trust is everything, absolutely!
I wished I had found you before my surgical internship
Haha! Well you’ve found me now :)
I'm an intern and your video are helping me in my surgery rotation. Thank you 😊
Totally awesome! Glad it could help! What other topics do you need covered?!
Just what I was looking for, great video!!!
Awesome Amin, pumped that you enjoyed it! Let me know if there is anything else you want to learn!
You are a great teacher. I enjoyed each and every second of this video.😀❤
So happy you enjoyed it!
I think I’m addicted to your lessons. 😁 thank you for another great lesson 👍🙌
Totally pumped you enjoyed it!! Let me know if there is another topic you’d like to learn about?!
Best teacher ever!
Haha, I’m glad you think so, please let me know if there is a topic you would like to learn about
Great advice. The only thing I would add - and please let me know what you think Dr. Pearson - after years of painful mistakes is to "not bury the lede." Attendings, especially at night, don't want to a mystery novel. If you think it's appendicitis, start with "I think it's appendicitis." If the pt is unstable, say that "this is an unstable pt with diverticulitis." If the pt needs to go to the OR, let the attending know asap!
Love that, yes, I think putting the decision at the beginning is very smart. “We have a consult for abdominal pain in a 37y old and I think we need to go to the OR…(wait for effect)…proceed with HPI”
Thanks for engaging!
Thanks a lot ❤
You're welcome 😊
Great video 🙏
Thank you very much! More on the way!
If I not say Normal or negative what I can say teacher
That’s a great question, say what the study found that supports your story. For example, you get a ct scan for appendicitis and the appendix is non dilated with no surrounding inflammation. Say that. You get a chest X-ray to rule out pneumonia and the image demonstrates clear lung fields with no evidence of consolidation. Say that. Let me know if that’s clear :)
1st
Haha! First to watch? Love it!