What the templates are for
These are digital examination proformas for ward teaching, long-case practice and exploration of structured clinical documentation. They can be used to organise a case presentation on a tablet or computer. The nine department links below open the individual forms.
A practical way to use a template
- Open the form for the relevant specialty.
- Enter the history and work through the examination sections that apply to the patient.
- Record actual findings and add detail where a checkbox is insufficient.
- Review the automatically assembled summary against the examination you performed.
- Use the form’s available save or print options to retain the record.
Why a structured form can be useful
Consistent fields make it easier to find a finding, compare cases and assemble a summary. Free text remains important for clinical reasoning, unusual findings, measurements and uncertainty.
A complete-looking form is not evidence of a complete examination. Do not mark an unexamined item as normal. Review any defaults and make it clear where a finding was not assessed or not applicable.
How it supports teaching
A teacher can use the completed form to discuss the sequence of history and examination, identify missing information and review how findings support the working diagnosis. The summary is a starting point for the discussion, not a substitute for presenting the case.
An everyday example
A trainee records a musculoskeletal examination and opens the generated summary. Before printing, they compare the summary with the patient encounter, correct any selection errors and add the description of a finding that did not fit the preset fields.
Current scope
The linked forms are browser-based tools, not a demonstrated connection to a hospital record system. Saving or printing a form does not automatically place it in the patient’s official record. Use the hospital’s documentation process when handling clinical records.