Posted: November 17th, 2016

developing the “questionnaire” that you might use in practice when seeing a patient who presents for his/her “annual wellness examination.”

Male Wellness History and Physical Examination Assignment

Female Wellness History and Physical Examination Assignment

 Value: Two H&P’s equal 30% of total grade

1) Male History and Physical Examination (15%) and

2) Female History and Physical Examination 15%).

Due Date: To be determined at onsite residency

Page Limit:  Maximum of 3 single spaced pages for each progress note.  Page limit does not include cover page.  (No reference page needed, as this is a “progress note.”)

Instructions:

PART 1: THE HISTORY:  (Value 7.5%)

1)  Review male and female reproductive health.

2) During your onsite residency, you were given the opportunity to observe and

to perform a male and a female genitourinary (GU) examination.   For this

assignment, you will submit two progress notes (3 pages each separately, Do the female in 3 pages and then the male in other 3 pages.).

3) You will document the male history and PE as a progress note and you will document the female history and PE as a progress note.

4) Begin by documenting the history questions that you would ask a male and then a female patient who present to you for his/her “annual wellness exam.”  You will include all of the pertinent sections of the history for this assignment.  For the “cc” you may simply write: “I am here for my annual female (or male) exam.”  For the history of present illness section, you can simply write that the patient has presented for his/her annual examination and is in good health, with no concerns.

6) You are developing the “questionnaire” that you might use in practice when seeing a patient who presents for his/her “annual wellness examination.”   You will not have any patient answers to document because you did not perform the actual history.  You will however, document the questions that you would have asked.

7) Use the systematic format that you have been educated to follow. Remember, this is oftentimes the only time a healthy patient will be seen by you; once a year for his/her annual exam.  You want to be as thorough as possible when gathering the patient information.

Again, the history portion of this assignment is the history that you would have performed.