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CLINICAL PROBLEM SOLVING – ON-CALL APPROACH FOR PHYSICIANS
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Standard Clinical Workflow:
┌──────────────────────┬────────────────────────────────────┐
│ Step                 │ Description                        │
├──────────────────────┼────────────────────────────────────┤
│ 1. History Taking    │ Detailed interview (~30-40 mins)   │
│ 2. Physical Exam     │ Structured full examination        │
│ 3. Investigations    │ Review labs, imaging, etc.         │
│ 4. Diagnosis         │ Formulate provisional & differential│
│ 5. Management Plan   │ Treatment & follow-up              │
└──────────────────────┴────────────────────────────────────┘

Emergency Exception – Unconscious Patient:
┌────────────────────────────────────────────────────────────┐
│ Situation: Patient found unconscious; limited background.  │
│ Action: History, exam, investigation, and treatment        │
│         must proceed CONCURRENTLY.                         │
└────────────────────────────────────────────────────────────┘

Time-Critical Action (First 5–10 Minutes):
⚠️ Rapid prioritization of:
    • Airway, Breathing, Circulation (ABCs)
    • Vital signs
    • Immediate threats to life

Medical Student On-Call Dilemma:
┌────────────────────────────────────────────────────────────┐
│ Encounter well-defined issues (e.g., fever, chest pain).   │
│ Often unsure how to begin without full workup.             │
│ Cannot spend 60+ minutes per case—must triage effectively. │
└────────────────────────────────────────────────────────────┘

RECOMMENDED STRUCTURED ADAPTIVE SYSTEM:
┌────────────────────┬──────────────────────────────────────┐
│ STAGE              │ FOCUS                                │
├────────────────────┼──────────────────────────────────────┤
│ 1. Phone Call      │ Assess urgency, give orders, inform RN│
│ 2. En route DDx    │ Form quick, focused differential      │
│ 3. Major Threats   │ Prioritize life-threatening causes    │
│ 4. Bedside         │ Rapid assessment and management       │
└────────────────────┴──────────────────────────────────────┘