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vipulrastogi

summarizing at the end of history

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What do people suggest- should we summarize at the end of long case history or not.

I presented a long case to my consultant who was in big favour of summarizing as she feels examiners tend to forget the earlier history otherwise.

Comments and Suggestions!!!!!!!!!!!!

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Yes but keep it brief. My current consultant, also a Part II examiner, said they often assume you can take a good history. It's the observed interview and subsequent discussion that show the candidate's true colours ..

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I would suggest to summerise in the begining rather than at then end by which I mean a brief paragraph at the start summerising all you think is important for that case. But be aware.....this is not the most important thing when you are presenting the case.....atleast this is what i think.

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I would think a diagnostic summary is standard at the end...

For eg:

35 yr old married male, currently working as ........... , living with his partner of............ , in..... with a family history of.............  Relevant personal history include.............. With longitudinal history of x years duration  of symptoms s/o.....................

currently presenting with.....................

Possible PPP factors include.....

On Physical exam............  

On MSE....................  

My clinical working diagnosis is............... Multiaxial if possible...

Differentials I consider will be................

Risks assessment from H/o and MSE include............

Management

Further collateral h/o

Investigaitons

Acute management... including MHA/ admission/ Home treatment team/ CMHT/ AOT

Long term management... including shared care/ CMHT/ Care coord/ AOT/ Crisis team

Please comment... thanks

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I would think a diagnostic summary is standard at the end...

For eg:

35 yr old married male, currently working as ........... , living with his partner of............ , in..... with a family history of.............  Relevant personal history include.............. With longitudinal history of x years duration  of symptoms s/o.....................

currently presenting with.....................

Possible PPP factors include.....

On Physical exam............  

On MSE....................  

My clinical working diagnosis is............... Multiaxial if possible...

Differentials I consider will be................

Risks assessment from H/o and MSE include............

Management

Further collateral h/o

Investigaitons

Acute management... including MHA/ admission/ Home treatment team/ CMHT/ AOT

Long term management... including shared care/ CMHT/ Care coord/ AOT/ Crisis team

Please comment... thanks

I would say- that is an excellent outline

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