Attending physician: The physician who has primary responsibility for managing the patient's care during a hospital stay or other healthcare encounter.
Attending Physician
Cardi
Heart
BP
Blood Pressure
HPI
History Present Illness
A Problem List is a complete list of: ___________________ in one accessible area.
Patient Problems
A physician asked by another healthcare provider to evaluate a patient and provide expert advice or recommendations.
Consulting Physcians
Gastro
Stomach
HR
Heart Rate
SOAP
Subjective, Objective, Assessment, Plan
Social history includes what?
a. Occupation
b. Smoking status
c. Alcohol use
d. Hobbies
A physician who has graduated from medical school and is receiving supervised clinical training in a medical specialty.
Resident Physician
Pulmon
Lung
SOB
Shortness of Breath
MDM
Medical Decision Making
It is acceptable to give advice to patients without physician approval.
False
Primary Care Provider (PCP)
Oste-
Bone
WNL
Within Normal limits
Established Patient
Patient seen within 3 Years is called an:
What are the two types of Evaluation and Management visits.
New/Establish
Supervises and teaches trainees
Teaching physician
Neur-
Nerve
Hx
History
CC: Chief complaint.
The primary reason the patient is seeking medical care in their own words.
T, P,R Stands for:
Temperature, Pulse, Respiration