Throughout the case, you may periodically ask how a patient feels by ordering an interval/follow-up history or monitor the patient by ordering a physical examination. You manage one patient at a time by: Reviewing the historyĪn initial history is given to you at the beginning of each case. However, it is possible to order education or counseling for the patient's family or sexual partner.
There is no option available to assess or treat anyone other than the patient. Primum CCS allows you to manage only one patient at a time. Your responsibilities for each patient are fulfilled when the case has ended. Note: The nature of each case dictates whether or not health maintenance issues are relevant within the simulated time frame.
You should function as a primary care physician and maintain responsibility for the patient in all management locations throughout each case.ĭo not assume that other members of the health care team (eg, nurses, medical consultants) will write or initiate orders for you when a patient is admitted to a facility or transferred for a surgical procedure.