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SCHOOL OF PROFESSIONAL PSYCHOLOGY COMPREHENSIVE CLINICAL EXAMINATION SUMMARY Original Examination Please submit this form, along with all other forms completed by panel members, and students CCE materials,

How to fill out comprehensive clinical examination summary

How to fill out a comprehensive clinical examination summary:

1. Start by gathering all relevant patient information, such as demographics, medical history, and current complaints.
2. Begin with a thorough physical examination, documenting key findings in each system, including vital signs, general appearance, and specific assessments.
3. Next, record all laboratory test results, imaging reports, and any other diagnostic tests that have been performed.
4. Review the patient's medical records to ensure all necessary information is included in the summary.
5. Summarize the patient's medical history, including any chronic conditions, previous surgeries, and allergies.
6. Document the current complaints and symptoms the patient is experiencing, ensuring to include the duration and severity of each.
7. Provide a detailed assessment and evaluation of the patient's condition, including any relevant diagnostic impressions and differential diagnoses.
8. Finally, formulate a comprehensive treatment plan, including any medications prescribed, recommended lifestyle modifications, and necessary follow-up appointments.

Who needs a comprehensive clinical examination summary:

1. Primary care physicians: They can use the summary to get an overview of the patient's condition and to guide further management.
2. Specialists: When referring a patient to a specialist, a comprehensive clinical examination summary provides necessary information to facilitate the referral process and ensure continuity of care.
3. Consulting physicians: When seeking advice or a second opinion on a patient's condition, a detailed summary makes it easier for consulting physicians to understand the case and provide informed recommendations.
4. Medical researchers: Clinical examination summaries can be valuable for medical research purposes, providing anonymized data for epidemiological studies or clinical trials.

Remember to always ensure patient privacy and confidentiality when creating and using clinical examination summaries.

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What is comprehensive clinical examination summary?

Comprehensive clinical examination summary is a detailed report summarizing the findings of a thorough medical examination.

Who is required to file comprehensive clinical examination summary?

Medical professionals or healthcare providers who conduct the clinical examination are required to file the comprehensive clinical examination summary.

How to fill out comprehensive clinical examination summary?

To fill out the comprehensive clinical examination summary, the medical professional must accurately document all examination findings and observations in the designated sections of the form.

What is the purpose of comprehensive clinical examination summary?

The purpose of comprehensive clinical examination summary is to provide a comprehensive overview of a patient's medical condition based on a thorough clinical examination.

What information must be reported on comprehensive clinical examination summary?

The comprehensive clinical examination summary must include details of the patient's medical history, physical examination findings, diagnostic test results, and a summary of the medical provider's assessment and recommendations.