By Andrew Hoellein, Charles Griffith

The proper databank and toolset to your rotation FIRST publicity TO AMBULATORY drugs complements your rotation with: A compelling profile of the perform of ambulatory medication simply the correct quantity of fabric in your 4-week clerkship o certain descriptions of systems you can see and practice a spotlight on very important innovations you have to examine - no longer memorization of proof How-to's for comparing the ambulatory sufferer The “Chief lawsuits” traditionally awarded in ambulatory departments “Don't leave out Diagnoses” desk for every significant scientific challenge Clinically appropriate element on situations you'll discover studying ambitions first and foremost of every bankruptcy

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Additional info for First Exposure to Internal Medicine: Ambulatory Medicine (First Exposure Series)

Sample text

For example, the use of protective equipment in the workplace should be determined. In addition, the fact that protective equipment was even required by the employer indicates a potential toxic exposure. The individual should also be questioned about similar symptoms in their coworkers. Some specific questions should always be asked regarding the individual’s symptoms. Is there a change in symptoms throughout the workday or workweek? Are the symptoms better when the individual is not working? Is there a pattern to the onset of symptoms?

To help a patient stay healthy or avoid disease, primary care physicians perform a preventive health visit, which requires a unique approach. The history is comprehensive, with added focus on health-related behaviors and a detailed family history. The physical examination is comprehensive with added screening as indicated by the patient’s risk factors for disease, for example, colon cancer screening after age 50. The evaluation focuses on determining the patient’s individualized risk for disease based on personal medical history, health behaviors, and genetic risk.

This would correspond to a “high pass” student, a B+/A–. M = manager, able to consistently formulate management plans. This is high-level functioning, an “honors” student, an A. E = educator, able to educate faculty regularly. This is often considered to be “high honors,” A+. Reading on ambulatory rotations requires perhaps greater discipline and self-motivation than on inpatient rotations. On inpatient rotations, you will often be presenting information about the same patient for several days in a row to your team, and you will be expected day to day to know a great deal about the patient’s underlying problem, with reading expected.

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