Below are some web sites with some more information on History & Physicals. Many of the sites also provide example write-ups. There is no one, absolutely correct template for creating the perfect write-up. However, the more you understand the fundamental principles of performing and writing-up an H&P, and the more examples of high quality write-ups you encounter, the better prepared you will be to create your own well-written History & Physicals.
Case-Based Curriculum of Clinical Medicine – The Physical Exam:
Cases, questions, images, etc. are provided for medical education by Assistant Professor of University of Chicago. Family Medicine; Geriatrics; Cardiology-Med; Infectious Diseases-Med; Immunology-Med; Pulmonology-Medicine; Hematology & Oncology-Med; Endocrinology-Med; Neurology.
University of California San Diego - UCSD Practical Guide to Clinical MedicineThis site describes well the important elements of a good H&P and provides several examples. The site also includes links to information on taking a history and performing different elements of the physical exam. Included are digital images, instructions on providing a comprehensive physical examination and other clinical education information.
University of Florida - Department of Medicine Medical Clerkship
Provides annotated examples of writes-up ranging in quality from outstanding to unacceptable.
University of Virginia - Practice of MedicinePhysical Exam Modules; this site provides links to instructional modules and videos demonstrating physical exam techniques.
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