Write this down: “The purpose of daily rounds & presentation (& progress note) is to *document the behavior of the disease under observation and treatment*.” This is the paramount philosophical purpose. You can include superfluous and redundant boilerplate (eg RRR no MGR no CCE)
But your presentation MUST contain all the data from the patient/exam/labs etc which allow an assessment (explicit or intuitive) of whether the patient is getting better or worse or not progressing, whether the expected is happening or not, & whether there r unexpected findings
Ideally, these rspecific to the pt & the disease rather than routine claptrap; if your patient has #complicatedPPE, the output of the chest tube will have a central position in the presentation; if it’s asthma, wheezing, RR, acc mm use. Tailor ur assessment to the disease….
So we can understand it’s behavior under observation and treatment. If the disease is not behaving as expected, the diagnosis may be wrong; treatments need adjusted or changed; complications have arisen.
That is the purpose of the routine, rather than checking off boxes and filling in blanks in a template: to think about the disease and its behavior and how it relates to the certainty of the #diagnosis and the adequacy treatment plan in the context of the known #naturalhistory
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