Introduction to Internal Medicine course.pptx

Why one should choose to study Medicine.

1. Introduction to Internal Medicine Dr. SK Sharwan (Retd) MBBS MD (Internal Medicine)

2. Doctor and patient relationship Clinical Medicine and Methods Layout of clinical setup Consent Compliance and patient centric approach

3. Doctor and patient relationship Initiative by doctor Acknowledge referral channels Improves patient input towards his illness First step in establishing diagnosis Organic Vs Inorganic disease

4. Doctor and patient relationship Helps doctor in customizing patient centric treatment Improves compliance Avoids unnecessary medico-legal issues Ensure and build up at each and every visit

5. Clinical Medicine and Methods Set of skills doctors use to diagnose and treat disease Approach clinical problems and relates to the patients Acquired during a lifetime of medical work evolve and change as new techniques and new concepts arise With the experience and maturity of the doctor develop Combination of study and experience Always something new to learn

6. Clinical Medicine and Methods Acquired during a lifetime of medical work 4. Always something new to learn

7. Clinical Medicine and Methods The aims of any first consultation: - To understand patients’ own perceptions of their problems To start or complete the process of diagnosis K nowledge of disease An ability to interpret a patient’s symptoms and Elicit the symptoms from patients description F indings on observation or physical examination  physical signs Experience  to conclude in , in a short space of time

8. Clinical Medicine and Methods The aims of any first consultation: - 6. Experience  to conclude in a short space of time

9. Clinical Medicine and Methods Steps In making Diagnosis- Clinical database To interpret the clinical database in terms of disordered function Potential cause/pathologies Physical, mental, social or a combination of these 4. Role of Investigation

10. Layout of clinical setup Utmost important to gain patients confidence Layout of clinic Dressing by staff and doctors Empathy towards patients problem Documentation

11. Consent Agreement, compliance or permission given voluntarily without compulsion In Medical practice- willingness of a person to subject himself for examination, investigation and treatment

12. Consent Legal requirement than an ethical or moral obligation on part of doctor Important aspect of several medical consumer litigation is improper consent

13. Consent Implied Vs Expressed Expressed Verbal Written (Consent form) Informed consent

14. Informed Consent Informed consent  understanding by the patient of :- Condition or nature of illness Purpose and nature of procedure or treatment proposed Risk and benefits Alternative treatment Prospect of success or failure Prognosis in the absence of intervention

15. Informed Consent Informed consent  understanding by the patient of :- 7. Acceptance or refusal of said procedure VERNACULAR LANGUAGE

16. HOLISTIC AND PATIENT CENTRIC APPROACH

17. THANK YOU