UPCM LU5 – Head and Neck Clinic – February 12, 2013

Today, February 12, 2013, I had a preceptorship with 5 UPCM LU5 students at the Head and Neck Clinic of the Department of Surgery.

We saw 2 patients.

I taught them Problem-oriented Clinical Assessment and Medical Advice (POCAMA)

Initial Essential Data to Gather:

  • Age
  • Sex
  • Concern or Chief Complaint (which is the Problem)

Relevant data to be gathered on the Problem:

History or Interview:

  • When problem noted
  • Associated symptoms
  • Previous medical consults and treatment

Physical Examination:

  • Characteristics of the problem
  • Associated physical signs

Process the above data (and others as gathered) using pattern recognition and prevalence processes to come out with primary and secondary clinical diagnoses.  Quantitate the degree of certainty of clinical diagnoses.

Decide on whether there is a need to recommend a paraclinical diagnostic procedure. As a rule, if one is quite certain of the clinical diagnosis, there is no need for a paraclinical diagnostic procedure.

If there is a need for a paraclinical diagnostic procedure, advise the patient which is most  suitable after comparison of the benefit, risk, cost, and availability factors of all possible options.

If there is no need for a paraclinical diagnostic procedure, advise the patient on treatment after considerations of the benefit, risk, cost and availability factors of all possible options.

Medical advices are given on the clinical diagnosis, paraclinical diagnostic procedures, and treatment.

That’s Problem-oriented Clinical Assessment and Medical Advice (POCAMA) in a nutshell.

upcm_lu5_2013_hn_clinic_13feb12b

upcm_lu5_2013_hn_clinic_13feb12a

Advertisements
This entry was posted in UPCM-PGH Medical Students. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s