1. Global Medical Training @ UCLA Sarah Kim & Kevin Lloyd

2.  SUBJECTIVE  OBJECTIVE  ASSESMENT  PLAN

3.  First, introduce yourself!  Obtain basic info  Past medical history (PMH)  Social life  Chief complaint (secondary complaint)  Vitals (objective)  Temperature  Pulse Rate  Blood Pressure

4.  History of present illness (HPI):  Onset  Location  Duration  Characteristics  Aggravating factors  Relieving factors  Severity

5.  Inspection/Observation  General, eyes, ears/nose/throat (ENT), cardiovascular (CV), respiratory, gastrointestinal, muscular, skin, neurology, psychology  Auscultation  Palpation  Percussion

6.  Discussion of case  Assessment  Preliminary diagnosis presented to attending physicians  Plan/Treatment  Prescribe medication  PREVENTATIVE ADVICE!  Rx  Doctor’s prescription