chapter  Case 39
2 Pages

Fit note request

This chapter, written for undergraduate medical students and post-graduate doctors in training, presents information on how to manage the patient requesting for fit note — a case which they are likely to encounter in the future in a general practice setting. It presents the case of an 18-year-old woman who returns to see her general practitioner requesting a renewal of her fit note. She had missed her last two appointments at the surgery, 1 and 2 weeks previously. The chapter provides details of the patients' medical history and the key findings of clinical examination, together with initial investigation results data for evaluation, and helps them develop their skills of clinical reasoning. Key questions then prompt the student to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan.