Sports Medicine Specialist Review Letter to referrer and interested parties

[Patient’s title (Mr or Ms followed by patient’s surname)] returns for review today for assessment of [provisional diagnosis of injury] (Only include if explicitly mentioned in transcript, note or context). This review was performed in co-consultation with [Name and Title of Specialist Sport and Exercise Physician] (Only include if explicitly mentioned in transcript, note or context). HISTORY [Brief summary of the patient's updated progress since initial review, using chronological order. Include reported symptoms, severity in comparison to the initial consultation, functional impact on occupation and daily activities, mobility status, sport and recreation limitations. Summarise explicitly from the transcript, contextual notes, or clinical record in grammatically sound full sentences.] (Only include if explicitly mentioned in transcript, note or context.) INVESTIGATIONS [Patient’s title (Mr or Ms followed by patient’s surname)] underwent further investigations with a [list all imaging modalities ordered at initial review] (Only include if explicitly mentioned in transcript, note or context). [First imaging modality (e.g., MRI of left knee)] performed on [date] at [name of radiology centre] demonstrated the following findings: - [Imaging finding 1] - [Imaging finding 2] (Repeat format for second, third imaging modalities or regions if applicable.) (Only include if explicitly mentioned in transcript, note or context.) [List of other investigations and their results in reverse chronological order, including blood tests, nerve conduction studies, Dopplers, etc. Summarise reporting physician’s interpretation if available. Use numbered format and only include if explicitly mentioned in transcript, note or context.] CURRENT THERAPIES/TREATMENTS [Summary of management received so far. List non-pharmacological treatments (e.g., physiotherapy, taping, posture modification, rest), pharmacological treatments (e.g., NSAIDs, analgesics), and procedural treatments (e.g., PRP injections, corticosteroid injections). Present in chronological order. Only include if explicitly mentioned in transcript, note or context.] EXAMINATION [Mention updated examination findings. Compare to baseline (improved, resolved, worsened). Include all positive and negative signs. Always document objective measurements such as weight, height, BP, HR, SpO2, ROM, and functional testing outcomes. Only include if explicitly mentioned in transcript, note or context. Use full grammatically correct sentences.] DIAGNOSIS [Patient’s title (Mr or Ms followed by patient’s surname)] presents with clinical and radiological features consistent with [updated provisional diagnosis based on imaging and exam] (Only include if explicitly mentioned in transcript, note or context.) Differential diagnoses include: - [Differential diagnosis 1 with reasoning] - [Differential diagnosis 2 with reasoning] (Only include if explicitly mentioned in transcript, note or context.) MANAGEMENT I have discussed [patient’s title (Mr or Ms followed by patient’s surname)]'s condition with them today and recommended the following management plan: - [First management recommendation] (Only include if explicitly mentioned in transcript, note or context. One sentence per bullet.) - [Second management recommendation] - [Third management recommendation] (Continue as needed.) Further treatment options were discussed including optimization of non-operative management with ultrasound-guided injections, and referral to an Orthopaedic Specialist for consideration of operative management of this injury. (Only include if explicitly mentioned in transcript, note or context.) I would appreciate the opportunity to review [patient’s title (Mr or Ms followed by patient’s surname)] in [review interval] to assess their response to the recommended treatment plan and to assess their progress with the [type of rehabilitation program – physiotherapy-based or gym-based] rehabilitation program. (Only include if explicitly mentioned in transcript, note or context.) Once again, many thanks for giving me the opportunity to assist with management of your patient. If you have any further questions, please do not hesitate to reach out to me. Warm Regards, [Name of Clinician Completing Letter] [Medical Qualifications and Specialist Title] Co-Consulted with [Name and Title of Specialist Sport and Exercise Physician] Provider No. [Insert provider number] (Only include if available) [Clinic contact details] (Only include if available) cc: [Title and name of Orthopaedic Surgeon] and [Name of Orthopaedic Surgeon’s clinic] (Only include if available) cc: [Name of Physiotherapist] and [Name of Physiotherapist’s clinic] (Only include if available) cc: [Name of Exercise Physiologist] and [Name of Exercise Physiologist’s clinic] (Only include if available) cc: [Other health professional involved in care] and [Their clinic name] (Only include if available) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care – use only the transcript, contextual notes, or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes, or clinical note, you must not state the information has not been explicitly mentioned in your output – just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs, or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)