Attending physician

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    Step 1: Review the ED physician record. Note presenting signs and symptoms, lab values, medical history, and the ED physician’s impression, as well as the reason why the patient is being admitted. Note any diagnostics or procedures performed in the ED. Don’t forget this part of the admission, because you might be using the ED record as the basis for an attending query, such as acute respiratory failure for a dyspneic patient intubated in the ED. Step 2: Look for the physician’s document of the patient’s history and physical (H&P). Use the same review strategy you used for the ED record. Determine if the physician has a clear idea of the principal diagnosis. Identify if the physician is waiting for additional diagnostics or consults. Take note of any gaps in the documentation. Can each diagnosis be coded completely based on the documentation? How firm is each diagnosis—are there diagnoses that are noted as rule out, probable, possible, cannot confirm, etc.? Make note of those diagnoses so that you can follow the progression of each diagnosis as the patient receives inpatient care. You don’t want a diagnosis to drop off without resolution. Ensure that there is enough clinical information in the chart at this point to support the diagnoses the physician chose. With an understanding of how principal diagnosis is determined, what do you…

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    If you've stumbled upon this article, then you likely have set off to learn more about Physician Disability insurance for medical residents. Undoubtedly, you have either been approached by an agent, advised by a superior or spoken with peers about this type of coverage. Likely you already know that the best time to purchase a policy is when you are young and healthy - but what is the true benefit for residents and fellows in purchasing Disability insurance during fellowship or residency? The…

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    I want to be one of those health care professionals who really embody the true sense of their profession. Someone who admits that apart from being able to touch their patient’s life, the patient has also touched theirs. Someone who has respect for others, for their beliefs and feelings. I would like to be someone who has an open communication with them. I want to become a part of those who initiate change for the betterment of the whole without sacrificing a part of it, however small this part…

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    Accounting and Management Program, 1984 to 1988 batch from Concordia University Career Primary Care Internist at “Landmark Senior Health Center”, July 2000 to November 2000. Senior Attending Physician at “ Landmark Senior Health Center”, November 2000 to November 2003. Attending Physician at “East Coast Primary Care, Inc.”, November 2003 to April 2008. Hospitalist at Harrington Memorial Hospital, Primary Care Clinic", May 2008 to May 2010. Affiliation Attending Physician Kent County…

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    In this case of a woman in her 60s who met Dr. Ellen Wiebe in Vancouver to receive her dying wish. “Hanne Schafer had been ravaged by neurological disease since 2013 and was sick of being sick. She and Wiebe had consulted for months about the prospect of dying and how Wiebe could help. Wiebe had researched available drugs, and discussed with lawyers and pharmacists. Now, in a matter of minutes, Schafer was gone.“It felt very good to be able to offer this woman what she wanted,” says Wiebe, “a…

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    Biomedical Ethics requires respect for an individual. How we address respect is through a number of principles; one of which is the principle of autonomy. The principle of autonomy is “we owe others respect for their autonomy and that showing such respect may be as important or even more important than producing benefits for others.” (Fry, S. T., Veatch, R. M., & Taylor, C., 2011, p. 150). A perfect example is demonstrated in Case 16-2 in which an attending physician is teaching intubation…

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    B. The Statutes Legalizing Physician-Assisted Dying The four states that have legalized physician-assisted dying include Oregon, Vermont, Washington, and California. Each state statute specifies certain criteria and procedural safeguards that must be met in order to exercise the right they establish. Of central importance is the definitions attached by the court to the term “terminally ill,” which is the primary requirement for a patient to undergo PAD. Procedural safeguards prevent the…

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    My decision to become a Physician Assistant (PA) is the result of the experiences and the knowledge gained from volunteering, shadowing and working close with PAs for the last several years. Moreover, the decision to choose PA as a career is also due to the personal and professional experiences observed while attending the first two years of medical school. While I have wanted to be a physician since the junior year of undergraduate studies, my perspective of the role of a doctor in terms of…

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    residents, fellows, and attendings responded to questions regarding comfort level and knowledge level in disclosing distressing news in the medical field. Of the participants, 75% of the residents, 60% of the fellows, and 40% of the attendings assessed that their knowledge level was insufficient. In contrast, 85% of fellows and 94% of attendings felt comfortable delivering the bad news. Even though there is a lack of knowledge of these communication skills, comfort in giving the news increases…

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    Essay On Misdiagnosis

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    As a neonatologist, Dr. Enrique Ostrea admits he is not as well versed on many adult medical conditions. But he need not be an expert to know his brother’s arm – all red and swollen – was not because of gout, which an internist had diagnosed. The attending physician prescribed medication for gout but in the follow-up consultation, was surprised because there was no improvement in the affected area. This even prompted the doctor to declare the gout was “stubborn”. A visual examination by Dr.…

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