If you are like me, then you probably have trouble staying organized while obtaining a problem-focused history. I have found that I must rely on frameworks and schemas to keep all the information straight. The framework I use most often is the mnemonic “OLD CARTS.” It stands for Onset, Location, Duration, Character, Aggravating/Alleviating factors, Radiation,Continue reading “OLD CARTS”

Using The R.I.M.E. Model

Early in my training one of my mentors introduced me to the R.I.M.E. model for setting clinical goals as a medical trainee. This model was developed by Dr. Louis Pangaro, MD, Chairman of Medicine at the Uniformed Services University and is used across the world to help students learn and grow. R.I.M.E stands for: Reporter,Continue reading “Using The R.I.M.E. Model”

How a Thoughtful Patient History Helps Build a Differential

One of the ways you will be evaluated on your internal medicine clerkship is by your ability to develop a differential diagnosis. In this post, we will focus on how a thoughtful patient history can help you formulate a differential diagnosis and ultimately guide your diagnostic and treatment plan.  There is a saying, “A problemContinue reading “How a Thoughtful Patient History Helps Build a Differential”