sparkles1077
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I have a teaching physician scenario where the fellow documents the MDM only. The attending does document a compliant attestation and indicates he saw and examined the patient with the resident. The findings of the exam are not documented by the fellow or attending. I do see this portion in the MDM and am wondering if others would consider this a physical exam?:
No e/oGIB - stool in bag is light brown. NGT with minimal blood tinged output, <20cc in 24h.
Thank you so much for your help
No e/oGIB - stool in bag is light brown. NGT with minimal blood tinged output, <20cc in 24h.
Thank you so much for your help