The practice of medicine in the ward differs in a number of ways from outpatient medicine. The first difference is the tempo. Outpatient medicine is more difficult and challenging because you have to make quick decisions, on less evidence, and without the assistance of the junior medical and nursing staff; on the other hand, as so many patients are normal, many are not seriously ill, and others although ill can be easily treated, the average amount of time spent on each patient is shorter. That is not to say that reassurance of a healthy but worried person is less valuable or difficult or time-consuming than the treatment of pneumonia, but in general the pace is faster. Ward patients are talked to and examined at greater length, and they are subjected to investigations which require explanation, evaluation and consultation.
KeywordsDepression Pneumonia Expense Tempo
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