Presentations and Notes - An Introduction

An introduction to a brief course primarily for medical, PA, and NP on patient oral presentations and written notes. To be included in this ongoing series are H&Ps, SOAP notes/presentations, a netter alternative to SOAP, and discharge summaries.

[@kowalskiplota634]

You seem kind of tired in this video. Be well our king and never forget how much thousands of people appreciate every minute you spend behind the scenes for these masterpieces.

[@lukerichardson2404]

Hey Dr Strong, just thought I’d let you know that my university actually had one of your videos as a resource for a weekly tutorial case. It was a little surreal, because I had already subscribed to your channel, so to see the uni use your videos as learning resources took me aback. I study at the University of Melbourne

[@StrongMed]

That's great! As long as the school directs folks to the KZbin channel and doesn't download the video and put it behind their own private firewall for you to watch there, it's all good!

[@claudias166]

Just wanted to say that as a medical student, I love all of your videos and religiously watch them to aid my studying each week. I am extra excited for this specific series! Thanks for the great content.

[@wol_ves]

Thanks Dr. Strong, looking forward to the rest of this series!

[@KwedhiMD]

Thank you Doctor Strong. Your videos are in-depth and super helpful, as always.

[@nicolasvethencourt7238]

Hi Dr Strong. Thanks you so much for your work. When will we see the videos on CKD and RRT?

[@JonathanCirillo]

Came here to get black belt in notes. Thanks doc

[@JonathanCirillo]

Just kidding. Current discussion of AI in medicine does not sit well with me on a personal level

[@PraveenKumar-uk6nr]

❤❤❤

[@waelfadlallah8939]

Dr Strong, we want the more complex medical stuff 😊

[@sanbetski]

yeah its lately the vids are dumbed down to cater to wider audience

[@kanwalmushtaqahmad3706]

I love you soo much

[@aconcretemoth9382]

you should consider an interprofessionalism video. im an RN in acute care and every week or so I seem to have an ICU level patient (who barely does not qualify for ICU admission) whose orders change every other hour and needs tight monitoring that I can’t provide while also handling other patients (who then have postop pain needs, missed assessments and late meds, etc). I would love a video where you talk about this scenario and how to optimize THAT patient’s care who needs meds and equipment and monitoring that acute care isn’t set up to provide. Maybe since this channel is often for physicians you can stress that a verbal review of systems and display of leadership at bedside with the RN and a sketch of at least the possible (if not final) plan of care would be helpful? It is not helpful to wait for a note to be generated in 6 hours to learn what the doctor thinks the case is about. I long for a physician at bedside for 10 minutes at least who will say “plan for two infusions so two IVs, yes you can use the midline IV already in place, dextrose OK to hang if youre worried about a trend under 100 of BS while npo, no pain meds for now, try to keep respiratory therapy on the unit, and X and Y are the developments I really want to be notified about”-rather than notifying per the acute care protocols, which might be something every 30 minutes (GCS 9, HR sustained at 140, a run of PVCs, increased MEWS score, and yes these are roughly the patient’s baseline) because it is literally impossible to try to elicit that context piecemeal and get the dripfed orders in between whatever else is more important for the MD. It is also impossible to care for other patients if those reported conditions result in new orders 30 minutes later. There must be a way to bundle an entire plan AT THE START with as many verbal orders as possible. It is intensely frustrating, and there aren’t enough nurses to reinforce. There’s rapid response teams, but I was explicitly told not to do a rapid response for that patient by the MD with no context, when I truly felt the patient might decompensate and go into SVT if we had to suction one more time (we “soft” called a rapid response on my latest patient so the MD didn’t really know about it) but frankly those staff aren’t going to be there for more than a hour, and then nothing has been helped. I basically collapsed from exhaustion 12 hours into my 14 hr shift, and couldn’t function anymore-and then one of my other patients has a seizure.