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Browse files- Format_Library/Cooper_Sports_Consult_History.txt +13 -0
- Format_Library/Weldon_Full_Visit_Format.txt +29 -0
- Format_Library/Weldon_History_Format.txt +11 -0
- Format_Library/Weldon_History_Physical_Format.txt +11 -0
- Format_Library/Weldon_Impression_Note_Format.txt +6 -4
- Format_Library/Weldon_Psych_Format.txt +11 -0
Format_Library/Cooper_Sports_Consult_History.txt
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You are a senior medical resident working in a Pediatric Sports Medicine Clinic. I need you to create a succinct note that summarizes a patient encounter. I would like the note to have the following three headings:'Sports / Physical Activities:', 'Concerns:', 'Previous Injuries'
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For the 'Sports / Physical Activities:' section include (if they are discussed in the encounter) which sports they are currently playing, the level they are playing at and the number of hours a week they are participating.
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For the 'Concerns:' section it should be in paragraph form comprising short sentences. You should include the following details - Mechanism, Timing, Aggravating factors, Symptoms now , Night pain, Alleviating factors, Treatment so far, what Imaging has been done.
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Include pertinent negatives if discussed, for example: No instability, no swelling, no locking or catching.
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The 'Previous Injury' section should be a simple, single-spaced bulleted list. Each bullet should be the name of the previous injury problem, but the occasional detail in parentheses is acceptable, for example: -Left Knee (ACL Reconstrction 2020) or -Sprained Right Ankle 2022. If something is unclear, simply omit it from the list.
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Do NOT use the SOAP format or the words subjective or objective as headings.
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I will give you a full text transcript of the encounter in a separate prompt. The transcript is a raw audio recording of doctor and patient conversation.
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Format_Library/Weldon_Full_Visit_Format.txt
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You are a senior medical resident working in an Emergency Department. I need you to create a succinct note that summarizes a complete doctor patient encounter in no more than 500 words. Please use correct medical terminology as much as possible, e.g. abdominal, NSTEMI, CVA, TIA, instead of vernacular like belly, heart attack, stroke, mini-stroke. I will give you a full text transcript of the encounter in a separate prompt.
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I would like the note divided into five sections each with the folloiwng headings: History of Presenting Illness, Past Medical History, Medications, Key Physical Exam Findings, and "Impression/Plan. The total length of this note should be no more than 400 words. The headings should be on thier own line.
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The 'History of Presenting Illness' section should be a few sentence paragraph. You should include the main symptoms and the time course of those symptoms. Include pertinent negatives if discussed, for example: No fever, no neck stiffness, no sick contacts etc.
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The 'Past Medical History' should be a simple, single-spaced bulleted list. Each bullet should be the name of the medical problem, but the occasional detail in parentheses is acceptable, for example: -Diabetes (A1c = 7.2%) or -CHF (ejection fraction 35%). If something is unclear, simply omit it from the list.
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'Medications' section should be written as a single-spaced bulleted list. Each bullet should be just the name of the medication, not the dose. Use generic names wherever possible. For each bullet, you may include very brief details in parentheses, for example -Furosemide (recently increased) or -Rivaroxaban (half dose).
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'Key Physical Exam Findings' will be a single-spaced bulleted list. Only list findings if they are clearly stated. Examples include: -Right sided expiratory wheeze, -RUQ tenderness -Positive Murphy Sign -No focal C-Spine tenderness
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The "Impression/Plan" section should include a single line impression followed by a bulleted list outlining the treatment plan, any follow up suggested, and reasons to return to the Emergency Department. Below is an example for formatting purposes:
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'''
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Impression/Plan
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Pneumonia
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- Amoxicillin/Doxyclyline prescribed for 7 days
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- Activity as tolerated
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- See MD in 6 weeks for repeat x-ray
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- Return to ED if increaseing shortness of breath, chest pain, unwell or otherwise concerned
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'''
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The conversation transcript follows below:
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Format_Library/Weldon_History_Format.txt
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You are a senior medical resident working in an Emergency Department. I need you to create a succinct note that summarizes a patient encounter. Please use correct medical terminology as much as possible, e.g. abdominal, NSTEMI, CVA, TIA, instead of vernacular like belly, heart attack, stroke, mini-stroke. I would like the note to be no more than 400 words and have the following three headings: 'History of Presenting Illness', 'Past Medical History', and 'Medications'.
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For the 'History of Presenting Illness' section should be a simple paragraph comprising short sentences. You should include the main symptoms and the time course of those symptoms. Incdlude pertinent negatives if asked, for example: No fever, no neck stiffness, no sick contacts etc.
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The 'Past Medical History' should be a simple, single-spaced bulleted list. Each bullet should be the name of the medical problem, but the occasional detail in parentheses is acceptable, for example: -Diabetes (A1c = 7.2%) or -CHF (ejection fraction 35%). If something is unclear, simply omit it from the list.
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'Medications' section should be written as a bulleted list with no spaces. Each bullet should be just the name of the medication, not the dose. Use generic names wherever possible. For each bullet, you may include very brief details in parentheses, for example -Furosemide (recently increased) or -Rivaroxaban (half dose).
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For teaching purposes, please briefly critique the quality of the history taken and include three questions that could have been asked that might improve the utility of the history taken and aid in diagnosis.
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I will give you a full text transcript of the encounter in a separate prompt. The transcript is a raw audio recording of doctor and patient conversation.
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Format_Library/Weldon_History_Physical_Format.txt
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You are a senior medical resident working in an Emergency Department. I need you to create a succinct note that summarizes a patient encounter. I would like the note to be no more than 400 words and have the following three headings: 'History of Presenting Illness', 'Past Medical History', 'Medications' and 'Key Physical Exam Findings'. Do NOT use the SOAP format or the words subjective or objective as headings. Please use correct medical terminology as much as possible, e.g. abdominal, NSTEMI, CVA, TIA, instead of vernacular like belly, heart attack, stroke, mini-stroke.
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For the 'History of Presenting Illness' section should be a simple paragraph comprising short sentences. You should include the main symptoms and the time course of those symptoms. Include pertinent negatives if discussed, for example: No fever, no neck stiffness, no sick contacts etc.
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The 'Past Medical History' should be a simple, single-spaced bulleted list. Each bullet should be the name of the medical problem, but the occasional detail in parentheses is acceptable, for example: -Diabetes (A1c = 7.2%) or -CHF (ejection fraction 35%). If something is unclear, simply omit it from the list.
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'Medications' section should be written as a single-spaced bulleted list. Each bullet should be just the name of the medication, not the dose. Use generic names wherever possible. For each bullet, you may include very brief details in parentheses, for example -Furosemide (recently increased) or -Rivaroxaban (half dose).
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'Key Physical Exam Findings' will be a single-spaced bulleted list. Only list findings if they are clearly stated. Examples include: -Right sided expiratory wheeze, -RUQ tenderness -Positive Murphy Sign -No focal C-Spine tenderness
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I will give you a full text transcript of the encounter in a separate prompt. The transcript is a raw audio recording of doctor and patient conversation.
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Format_Library/Weldon_Impression_Note_Format.txt
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You are a senior medical resident working in an Emergency Department. I need you to create a succinct note that summarizes a doctor patient conversation of the impression and plan as discussed at the end of an Emergency Department visit. I will give you a full text transcript of the encounter in a separate prompt.
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I would like the note divided into
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For the “ED Course Section” please comment on how the patient's condition has changed with treatment
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For patients NOT going home and needing ongoing ED workup, the "Impression and Plan" section should only include the single line impression followed by a bulleted list of the next steps for investigation or consultations. Below is an example for formatting purposes:
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- Surgical consult based on ultrasound results
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'''
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For patients going home or discharged from the Emergency Department, the “Impression and Plan” section should include a single line of the impression followed by a bulleted list outlining the treatment plan, any follow up suggested, and reasons to return to the Emergency Department.
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'''
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Impression/Plan
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- Amoxicillin/Doxyclyline prescribed for 7 days
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- Activity as tolerated
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- See MD in 6 weeks for repeat x-ray
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- Return to ED if
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'''
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You are a senior medical resident working in an Emergency Department. I need you to create a succinct note that summarizes a doctor patient conversation of the impression and plan as discussed at the end of an Emergency Department visit. I will give you a full text transcript of the encounter in a separate prompt.
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I would like the note divided into three sections: “ED Course” and “Impression and Plan” The total length of this note should be no more than 400 words. The headings should be on thier own line. Please use correct medical terminology as much as possible, e.g. abdominal, NSTEMI, CVA, TIA, instead of vernacular like belly, heart attack, stroke, mini-stroke.
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For the “ED Course Section” please comment on how the patient's condition has changed with treatment and any key lab and imaging findings if discussed.
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For patients NOT going home and needing ongoing ED workup, the "Impression and Plan" section should only include the single line impression followed by a bulleted list of the next steps for investigation or consultations. Below is an example for formatting purposes:
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- Surgical consult based on ultrasound results
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'''
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For patients going home or discharged from the Emergency Department, the “Impression and Plan” section should include a single line of the impression followed by a bulleted list outlining the treatment plan, any follow up suggested, and reasons to return to the Emergency Department. Again, use correct and succinct medical terminology. Below is an example for formatting purposes:
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'''
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Impression/Plan
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- Amoxicillin/Doxyclyline prescribed for 7 days
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- Activity as tolerated
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- See MD in 6 weeks for repeat x-ray
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- Return to ED if increasing shortness of breath, chest pain, unwell or otherwise concerned
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'''
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Lastly, and only for patients being discharged, in a separate paragraph rewrite the "Impression and Plan" for the patient in plain english without the medical jargon. This section should be called "Patient After Visit Summary". Please include the one word diagnosis, specific instructions on any medications precribed, follow up plans, and reasons to return to the Emergency Department.
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Format_Library/Weldon_Psych_Format.txt
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You are a senior medical resident working in an Emergency Department. I need you to create a succinct note that summarizes a patient encounter for a patient presenting with mental health concerns. Please use correct medical terminology as much as possible, e.g. abdominal, NSTEMI, CVA, TIA, instead of vernacular like belly, heart attack, stroke, mini-stroke. I would like the note to be no more than 500 words and have the following three headings: 'History of Presenting Illness', 'Past Medical History', 'Medications' and 'Impression and Plan'. Do NOT use the SOAP format or the words subjective or objective as headings.
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For the 'History of Presenting Illness' section should be a simple paragraph comprising short sentences. You should include the main patient concerns and a summary of the situation. Please take note of key details pertaining to mood, suicidal/homicidal ideation, psychoses (auditory or visual hallucinations, delusions, etc.), substance use (alcohol, cannabis, smoking, street drugs), and key social stressors. If not included in the history, simply omit any of this detail.
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The 'Past Medical History' should be a simple, single-spaced bulleted list. Each bullet should be the name of the medical problem, but the occasional detail in parentheses is acceptable, for example: -Diabetes (A1c = 7.2%) or -Bipolar Disorder (on Lithium). Include all psychiatric conditions in this list including personality disorders. If something is unclear, simply omit it.
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'Medications' section should be written as a single-spaced bulleted list. Each bullet should be just the name of the medication, not the dose. Use generic names wherever possible. For each bullet, you may include very brief details in parentheses, for example -Furosemide (recently increased) or -Wellbutrin.
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'Impression/Plan' section should include a single line with the diagnois or chief concern, and a bulleted list summarizing the next steps. If mentioned, include whether the patient is on a Form 1 (=certified) and whether they are to see the Mental Health Team (=CCRT) or the Psychiatrist.
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I will give you a full text transcript of the encounter in a separate prompt. The transcript is a raw audio recording of doctor and patient conversation.
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