WASHINGTON UNIVERSITY IN ST. LOUIS SCHOOL OF MEDICINE PEDIATRICS DIAGNOSTIC MEDICINE CLINICAL ACTIVIES
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Diagnostic Medicine | Clinical Activies

The Diagnostic Center program which facilitates the delivery of care traditionally rendered in hospital in an enhanced ambulatory setting. This has required the development of new, and the modification of old, concepts and system of patient flow, documentation, registration, scheduling, and communication. The D.C. personnel were originators of ideas, creators of some of the systems, and "beta testers" of these changes. We aspire to combine the best of traditional methods (e.g. interviewing, physical examination, telephone follow-up to parents, pre-visit planning) with the enhancements of the computer era (e.g. FAXed pre-visit records, rapid transcription and on-line editing, literature searches and feedback to in-house consultants and referring physicians). Number of patients seen 7/92-7/99: 2,696. Ten most common presenting complaints:

  • Pain
  • Fatigue
  • Rash
  • Growth
  • Spells
  • Multiple organ symptoms
  • School absenteeism
  • Vomiting
  • Fever
  • Abnormal test
  • Complex illnesses, second opinion

Coordination of other physician consultation services is required in 40% of the patients seen and 10% become long-term patients of one or more pediatric and/or surgical groups in our institution.


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