Resource Links

   
Documentation Guidelines for
Evaluation and Management Services
from the
Centers for Medicare and Medicaid Service
 
1995 Version 1997 Version  
 

Clinical documentation supporting claims to CMS must be
compliant with either of the Guidelines versions available at the
links above. Many other third-party payers require similar compliance.
Take the time to read and understand these documents. Having done so,
you will more fully understand how TurboNote simplifies your generation of
CMS-compliant documentation.
 

Web Resources: History - Physical Examination - Assessment

General:
Patient Encounter Tips - American Academy of Orthopedic Surgeons
Find Your Voice -
     "This voice has got to go" - NY Times article
     Susan Miller Ph.D. Voicetrainer advise
Patient Communications pearls from the EMS world from Charly Miller
Words that Make a Difference - Annals of Internal Medicine
“Let Me See If I Have This Right . . . ”: Words That Help Build Empathy
“What Else?” Setting the Agenda for the Clinical Interview
Saying Goodbye
"I wish things were different"
Hope for the Best, and Prepare for the Worst
To Change or Not To Change: "Sounds Like You Have a Dilemma"

Robert Wood Johnson Medical School - Camden
 

Red Book pdf

  H&P Template pdf

University of Virginia - Phy. Exam modules
University of Florida: Basic Clinical Skills Richard Rathe, M.D. Physical Exam Study Guides
Univeristy of California, San Diego
Loyola University
Physical Diagnosis - Martindale's Health Science Guide
General - Martindale's Health Science Guide
Diagnosis - Karalinska Institute


System-Specific:
Head and Neck Exam
 

Eye - UC Davis
Thyroid - University of Washington

   
Cardiovascular Exam
  CARDIAX - Universtiy of Michigan, Richard Judge, M.D.
Synapse Publishing Inc.
Virtual Stethoscope - McGill University
Heart Sounds - University of Washington
   
Pulmonary Exam
  General - Loyola
General
- University of Washington
Lung Sounds - UC Davis
Virtual Stethoscope - McGill Univesity
   
Abdominal Exam
  General - University of Florida
Ascites - University of Washington
Acute pain - Physician and Sports Medicine
   
Dermatology Exam
  Dermatology Online Atlas - Dermatology Information System (DermIS)
Dermatology ImageBase - University of Iowa
   
Neurology Exam
  General - UC Davis
General - University of Florida
General - neuroexam.com
Problem driven - Wheeless' Textbook of Orthopaedics
   
Books

The Michigan Manual of Clinical Diagnosis: the Basis of Cost- Effective Medical Practice
Richard D., Md. Judge (Editor), George D. Zuidema, James O. Woolliscroft

Bates' Guide to Physical Examination & History Taking
Lynn S. Bickley, Robert A. Hoekelman, Barbara Bates

Bates' Pocket Guide to Physical Examination and History Taking
Lynn S. Bickley (Editor), Robert A. Hoekelman

Evidence-Based Physical Diagnosis
Steven R. McGee

Atlas of Pediatric Physical Diagnosis
Basil J. Zitelli (Editor), Holly W. Davis (Editor)

The Medical Interview: Mastering Skills for Clinical Practice
John L., Md. Coulehan, Marian R., MD Block

Mosby's Guide to Physical Examination (With CD-ROM)
Henry M. Seidel (Editor)

Bedside Diagnosis An Annotated Bibliography of Literature on Physical Examination and Interviewing Third Edition
Henry Schneiderman, MD, FACP, and Aldo J. Peixoto, MD