Basic Patient Management Processes for Physicians (Medical Students, Medical Specialty Residents, Medical Specialty Consultants)
Basic Patient Management Processes for Physicians (Medical Students, Medical Specialty Residents, Medical Specialty Consultants)
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
September 30, 2012
Introduction:
There are basic patient management processes that all physicians-to-be and certified physicians should know to come out with a structured (systematic and rational) problem-solving and decision-making when faced with a patient.
The basic patient management processes consist of those processes used in the following:
1. Arriving to a clinical diagnosis using data from interview and physical examination.
2. Deciding whether a paraclinical diagnostic procedure is needed or not.
3. If a paraclinical diagnostic procedure is needed, deciding which diagnostic procedure option to recommend.
4. Deciding which treatment option to recommend.
There are other processes that are needed in the management of a patient such as processes in deciding how to interpret the results of the paraclinical diagnostic procedures to come out with a pretreatment diagnosis and how to advise patients on clinical diagnosis, paraclinical diagnostic procedures, and treatment procedures.
In this particular module, the focus will be on the four abovementioned basic patient management processes.
Terminal learning objective:
At the end of the module (through coaching and independent study), the participants must be able to demonstrate skills in the four basic patient management processes:
1. Arriving to a clinical diagnosis using data from interview and physical examination.
2. Deciding whether a paraclinical diagnostic procedure is needed or not.
3. If a paraclinical diagnostic procedure is needed, deciding which diagnostic procedure option to recommend.
4. Deciding which treatment option to recommend.
Enabling learning objectives:
1. Read and know the basic patient management processes (see ROJoson’s hand-outs).
2. Apply the patient management processes in an actual patient.
3. Prepare and present a 6-minute case presentation showing the application of the basic patient management processes (off-shoot of No. 2 enabling learning objective) – [use format below].
Teaching-learning methods:
Coaching by facilitator – initially through hand-outs (see below) and subsequently, interactions on October 29, 2012
Independent study of participants on the hand-outs to be given by the facilitator (ROJoson)
Preparation of a 6-minute case presentation with clear and clean digital slides (See format below)
*Note: all the three activities should be done and completed before October 29, 2012. On October 29, 2012, the participants will present using their prepared digital slides.
Hand-outs:
1. Management of a Patient Framework
2. Management of a Surgical Patient (Process ) – ppt
3. Guidelines and Format on Case Management Presentation – Discussion and Sharing of Information (June 30, 2012)
4. Art of Creating Digital Slides for Presentation
Format of Case Presentation using Digital Slides (give the necessary greetings, introduction and closing of a presentation)
Title: Case Presentation of a Patient Presenting with (Chief Complaint)
Salient patient data on consult:
Give a concise compilation of data from interview (history) and physical examination.
Clinical diagnoses: Primary and Secondary Clinical Diagnoses
Briefly explain bases (particularly for the primary clinical diagnosis using the processes of pattern recognition and prevalence)
Paraclinical diagnostic procedures:
Is a paraclinical diagnostic procedure needed? Yes or No. Briefly give reasons using the degree of certainty and degree of diference in the treatment plans for the primary and secondary diagnoses.
If a paraclinical diagnostic procedure is needed, present a table of options and comparisons in terms of benefit, risk, cost and availability. Then, decide which one to recommend to patient and briefly explain why.
Treatment:
State the pretreatment diagnosis followed by the goals of treatment.
Then present a table of options and comparisons in terms of benefit, risk, cost and availability. Then, decide which one to recommend to patient and briefly explain why.