The Medical H and P (Part 1 of 2)

[@ado75]

As an ANP in training, I appreciate the work that went into this. Many thanks.

[@isakelockettholloway4367]

Thank you for this. You give a thorough breakdown for each part of an H&P which makes it easy to grasp and retain. I would love more clinical lectures such as this.

[@mahmudhasan6696]

excellent presentation.

[@acb101285]

Thank you for this video. My medical school never formally taught us how to present our findings. It has resulted in a very stressful first clinical year. The topic choices for your videos have been great. I'll be watching all your future videos.

[@sebastianalonso2127]

I guess it's kinda off topic but do anybody know a good place to stream new series online ?

[@lifecoach247]

Thank you so much Dr. Strong. Your lectures are a delight. Please post more lectures on clinical management topics.

[@SarahChicharro]

I really find this helpful. Our program requires 3 generations under family history.

[@bigpastor232]

This is an awesome presentation and has stood the test of time

[@yuchenjiang7338]

Wonderful video. Thank you so much from an incoming PGY-1

[@heminhimdad]

Amazing work, much thanks

[@alicialanier8667]

do you have templates anywhere for newbies?

[@Mohamed_-j9k-k4s]

Thank you for this video

[@Daniel-rk2qz]

Where was this when i was going through my rotations ahhh!!!!

[@sunving]

Thank you Dr Strong. It is important video but it could have split into 2 to keep attention span. Lecture like this trigger PTSD for me. :)

[@liasosa4100]

Well presented, thank so much!

[@nikhilramnarine]

Thank you so much for this.

[@Evan-rb1oh]

hi Dr. Strong, i've seen a number of different ways to write the H&P especially on the Assessment and Plan sections. For example, some do not have the summary statement, and instead uses that for the Assessment section, along with the differential diagnoses and explanations. They then have a separate section for "Plan". Others I've seen combine assessment and plan together, and have a format somewhat similar to what you covered. As my rotations come up, I would like to have a consistent way of approaching the H&P, so i am wondering if you have any advice on this. Thank you!

[@StrongMed]

You are correct that there is no standardization of how to convey the assessment and plan, which I've always found bizarre, given that the A&P is the more important part of the note (and honestly, the only part of the note that most people pay attention to). About 5-6 years ago, I did a survey of a half dozen popular clinical skills textbooks that discussed the H&P, and not one of them gave any significant guidance on the format of the assessment and plan. My only recommendation is to ask at the beginning of each rotation if there is a preferred format for notes, and follow that to the letter, but even that can be problematic. For example, for a while our medicine clerkship had distributed a sample H&P on day 1 that was in a perfectly fine and defensible format, but which differed from what every medicine intern does in real life.

[@lisawu7198]

super great !

[@harenderbaisoya]

Sir could you tell me which edition of Harrison's principle of internal medicine is best and easy to comprehend? Currently I am reading 19th edition but i find it very difficult and also cumbersome because some of important topics are to be read from E book.

[@StrongMed]

+Harender Baisoya I don't recommend any edition of Harrison's. Regardless of the authors' and editors' intent, it is more of a reference book than a textbook - that is, it covers diseases not problems. A great medicine text should do the latter at least as much as the former, and Up To Date is a better reference than Harrison's.

[@StrongMed]

+Harender Baisoya 1 caveat is that I haven't examined a copy for several years (I.e. the most recent edition may be much different than prior ones). Other people should feel free to offer their opinion here too!

[@harenderbaisoya]

So sir which textbook would you recommend or where and how should we read internal medicine? One of my teacher says to read 16th edition is the best he ever came across. Kindly throw some light!!

[@bdreamy1807]

I think Dr Eric strong made it clear that Harrison is structured as a disease reference which is apparently true. I would say if you're a med student it is essential you understand the disease extensively then you can appreciate other clinical based books or apps like Up to date.

[@Rudy34Ares]

Good!

[@Allibaby78]

Wowwwww

[@harenderbaisoya]

still waiting for ur response sir!!!

[@MrPridizzle]

song plz

[@claireadcock4885]

watch until the end

[@bobrasius]

H