Medical Students in their first, second, third and fourth year of medical school should have different levels of expected competencies, which can be especially helpful in learning about Direct Primary Care (DPC).
In the clinical encounter, the elements of competency that I emphasize in my office-based teaching/ learning are: the Identifying Information, Chief Complaint, History of Present Illness, the Differential Diagnosis and the SOAP note. DPC learning and understanding fit well into this model.
Identifying Information: Age, Race/Ethnicity, Occupation, Living Associations/ Arrangements and Location, Major Recent Events or Expected Events (or Migration Direction), Payment Method (and comfort with/understanding of/ confusion about).
HOPI: Patient's Starting Health status, Course, Onset, Duration, Intensity, Exacerbations, Remissions and associated Signs and Symptoms related to Chief Complaint.
Serious
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Probable
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Interesting
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Treatable
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Subjective
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Objective
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Assessment
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Plan
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Dx, Rx, Pt Ed
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Plan
Diagnostic Therapeutic Pt. Education |
I discuss this model and its use at each level of medical student on The Dr Synonymous Show Feb 3, 2015. The Dr Synonymous Show
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