CONSULTATION LETTER WRITING I and II AMBULATORY 咨询信写作I和II的动态.pptVIP

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CONSULTATION LETTER WRITING I and II AMBULATORY 咨询信写作I和II的动态.ppt

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CONSULTATION LETTER WRITING I and II AMBULATORY 咨询信写作I和II的动态

CONSULTATION LETTER WRITING AND DICTATION AMBULATORY INTERNAL MEDICINE GROUP PRACTICE CLINIC Dr. Danny Panisko Updated by Katina Tzanetos Division of General Internal Medicine University Health Network and University of Toronto July 2007 References: Writing effective consultation letters: 12 tips for teachers Erin Keely et al. Medical Teacher, Volume 24, No.6, pp. 585-589 CONSULTATION LETTER WRITING:OBJECTIVES FOR THIS LECTURE Consider the role and characteristics of an ideal consultation letter Read and critique sample consultation letters Come to a consensus about the characteristics of an ideal consultation letter CONSULTATION LETTER WRITING:ROLE OF THE CONSULTATION LETTER Potential readers: Referring physician Consultant Patient Lawyers Insurance companies Need to think about all of these individuals when dictating…but…. Focus should be on needs of referring physician ROLE OF THE CONSULTATION LETTER: NEEDS OF REFERRING PHYSICIAN Important tool for facilitating ongoing care with Primary MD Primary care MD often responsible for: Interpreting consultant’s opinion for patient Implementing diagnostic or therapeutic suggestions Thus, letters should be received in timely fashion and have specific recommendations ROLE OF THE CONSULTATION LETTER: NEEDS OF REFERRING PHYSICIAN Consultation letters may also be used for Continuing Medical Education by referring physician Survey in 1995 looking at what family mds wanted from letters Wanted guidance and education but rarely received this ROLE OF THE CONSULTATION LETTER: NEEDS OF CONSULTANT Often only detailed record of patient’s history, physical, and follow-up plan CONSULTATION LETTER WRITING: Critique Sample Letters Consider discussing the following characteristics of samples provided: Length Content (new patients and f/u) Format (hx, px…) Use of Headings Use of Typographical emphasis (bold or italic) Use of Abbreviations Report of Investigations Recommendations Physician Education “Ideal” Letter From the