Time Management during your patients encounters is very important.
A total of 25 minutes is allocated for each encounter, first 15 minutes for the actual encounter and 10 minutes for writing the patient note
First 15 minutes
Your time starts with the beginning of the announcement "examinees you may begin your encounter"
So as soon as you hear the word "EXAMINE......." slide the cover of the patient doorway information
A few seconds before the announcement, there is another announcement, " SPs Plz Prepare". As soon as you hear this keep make your hand ready to slide the cover
I recommend you to use the first 15 minutes in the following way
1 minute:For reading the doorway information, making a mental
checklist of HPI questions and DD, knocking on the door
and turning the knob and entering the room*
6-7 minutes:- For introduction with the patient, draping and
history taking
4-5 minutes:- For washing your hands and physical exam.
2-3 minutes:- For counselling and closing your encounter
Last 10 minutes
In the last 10 minutes you have to right the patient note
It should be written in the following order
Differential Dx
Investigations
Examination
History
10 minutes are more than enough If you have moderately practiced
patient note writing.
Abbreviations:- Are very important and useful since the time and
space to write the patient note are limited.
*if the case does not include physical examination ( telephonic, parent of child)
you can even spend 4-5 minutes at the door, preparing your mind
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