Review of Systems or is PAM HUGS FOSS good enough?

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i wrote that down each time on my paper b4 i went in each room, and followed it exactly, thats all you need. remember this is timed, so it's a focused history and physical. when u hear on the loud speaker, "examinees you have 5 min's remaining", you should be 75% done with the p.e. and then you move right to closing. it worked perfectly.
just go in there and be the man...confidence through the roof, and you'll do fine. kill em with kindness, use lay terms, make sure u ask them if they have questions for you, and rock it! they're acting, and some of it is acting on ur part too.
 
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cool thanks.. yeah i am confident in the hospital but, i haven't prepaired for this **** at all, and although i am good at bull****ing the time issue is a huge concern for me. so i need to practice.
 
I have no idea how they score the thing, but I would guess that they are looking for questions that reflect a wide differential spanning several systems.

I don't know what PAMHUGSFOSS stands for but I don't see why they would give points for questions completely irrelevant to the complaint, vs. questions that show your understanding that the vague complaint could have etiology in one of many systems.
 
Why would you ask review of system questions (urinary and gi) right in the middle of the rest of the PMH?

HPI
PMH
PSH
Meds
Allergies
FH
SH
ROS
PE
AP

Some people like the ROS to be after the HPI or included in the HPI
 
so you did a full ROS on your patients?
No, I was just curious. I am taking it at the end of the month 😳

I will probably do an abbreviated ROS. Fever, chills, NV, headache, change in vision, sore throat, chest pain, shortness of breath, stomach pain, constipation, diarrhea, muscle cramps, burning during urination, etc.
 
i don't think an ROS is that important. some say do a focused ROS, but aren't you doing that sort of by asking the HPI Q's. and many patient note examples don't have an ROS so i am just not going to do it.
 
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