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55 Word Stories. Cyndie Franklin, MSEd NEIFMR: November 27, 2013. Writing is a part of a physician’s daily life. Outpatient SOAP notes Developing an H & P Discharge summaries.
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55 Word Stories Cyndie Franklin, MSEd NEIFMR: November 27, 2013
Writing is a part of a physician’s daily life • Outpatient SOAP notes • Developing an H & P • Discharge summaries
A story is told about the patient, but the note does not allow the doctor to reflect on the meaning of the interaction with the patient.
A 55 Word Story • A brief piece of creative writing • Uses elements of poetry, prose or both • Encapsulates key experiences in health care • Themes can be “big” or “small”
Well written 55 Word Stories include key elements of narrative • Setting • Character(s) • Conflict (something has to happen!) • Resolution (what’s the outcome of the story?)
Physical Diagnosis I “I’m going to do your exam now.” Unsure. Pull out the blood pressure cuff, untwist the curly cord. Which side by the skin? Pen in my mouth, stethoscope in my ears Cord snaps back and hits her cheek. . . I need another hand or three. “Don’t worry,” I say ruefully. “They don’t give me anything sharp.” Kristen Goodell, MD, Tufts University School of Medicine, Boston
The Patient “I want you to be my doctor. This has been a tough decision. They promised me a cure. Instead I received misery. I want you to be there for my family and me. Don’t judge, just support and pray with us. Preserve my dignity. Before you helped me live. Now, please help me die.” Uriel Ross Luckie, MD, Pensacola Naval Hospital, Family Practice Dept., Pensacola, Florida
Flying to a sunny place. Goal – exam; reward – relaxation. Sun beating down on water rolling. I walked to the towel. A message and a smile. My dad had called. I wept. Why? My dad did not want to chat. My cousin dead; 25 years old. Her demons finally got her; she took herself to peace. Stacy Majoras, DO PGY-1
He is a fighter, always optimistic, even with terminal pulmonary fibrosis and CHF. On my house call he talked to me about his plan of hunting and fishing with the oxygen cannula on. “I am definitely going to do it next week,” he said, with determination on his face. He died the next day. Zhai Fan, DO PGY-3
Fifty-five Trail Take a stab at it. I still don’t know why. 55 more or less Doesn’t make or hurt my day But stab I will Just about anything once. My paper fails at 28 So I guess I’ll add some more. An adjective, verb or extra noun To get the magic number met. Now fifty five. Joel S. Leitch, In His Image Family Medicine Residency, Tulsa OK