HPI
Carson would freely admit it to anyone who asked. In fact, he would often volunteer the information if they didn’t.
He wasn’t supposed to be in America.
He should have stayed in Edinburgh, where he understood the system, worked only eighty hours a week and got paid what he deserved for it.
It was the inevitable follow-up question that he ( Read more... )
He wasn’t supposed to be in America.
He should have stayed in Edinburgh, where he understood the system, worked only eighty hours a week and got paid what he deserved for it.
It was the inevitable follow-up question that he ( Read more... )
With the medical details, well, I can't help you with the litre/liter issue (I believe all U.S. hospitals still use the "standard" measurement system for IV solutions, but I'm a medical informatician that works primarily with ophthalmologists and optometrists, so I don't know much about IV orders). But the hospital in Chicago that Carson works at would be the Cook County General Hospital if it was the public, non-profit hospital. He might be at one of the academic medical centers, but they are hellaciously difficult to get into for your residency from a US medical school, let alone from overseas. Never mind the fact the university affiliated hospitals (Northwestern, UChicago) all provide their residents with housing.
In the U.S. we use the SOAP method for conducting an examination (Subjective, Objective, Assessment, Plan) and what you call the HPI is commonly called the History of Chief Complaint. But in my opinion, it would TOTALLY make sense for Carson to follow UK procedures. You guys are so far ahead of his in terms of national standards and electronic health records than us in the United States, you would probably laugh if you saw the state of our medical system. Hope some of this was helpful (and not obnoxious).
Anyway, fabulous story and I really hope you continue this.
Reply
We actually use SOAP here as well. Some of us. I was taught a few different systems, and just use an amalgamation. *shrugs* it works best for me :)and people can read my notes. I intend on wrting more than four stories though, so I needed more headings :P.
(I actually work in Australia, not the UK, but our training systems are very similar).
But Yay! THe stuff Iwas worrying about you didn't even point out, so whoo! I must be on the right track! Thanks SO much for the feedback :) Not at all obnoxious!
(However, what is a medical informatician? I have never heard the term before!)
Reply
Oooh, Australia... We always hear about how much cooler you guys are re: Medical IT and electronic health records too.
Reply
Reply
Leave a comment