Class of 2023
Go Back | Session Title: | History Taking and Physical Examination Sessions | | Teaching Hours: | Teaching and Learning Methods | Total Scheduled Hours = 24 Simulation = 24 | Description: | | 12 sessions of 2 hours each. In these 12 sessions, students will be taking complete histories and physical examinations on patients. In the early sessions, these will be done with tutor supervision. In the later sessions, students will meet patients on their own to perform a history and physical exam. Students will present the patient's findings to the tutor on another day, with the patient present to review as needed. In addition, students will be expected to complete write ups for the patients that they see along with a problem list and differential diagnosis.Two of these 12 sessions are titled "witnessed physical exams". In these sessions, student are observed by a tutor, one on one, doing a full physical examination on a patient. The first of these sessions is formative in nature and verbal feedback is provided to the students following the session. The second of these sessions is summative. In both of these sessions, students are provided with written feedback. | Keywords: | Professional Attributes (Respect), Professional Attributes (Compassion), Professional Attributes (Empathy), Professional Attributes (Duty), Professional Attributes (Responsibility), Professional Attributes (Honesty), Professional Attributes (Integrity), Interview, BATHE Technique, FIFE Approach, Medical History Taking, Family History Taking, Psychosocial History Taking, Medical History (Present Illness), Emotions, Verbal and Non-Verbal Expressions of Empathy, Effective Small Group Attributes, Cooperation, Negotiation, Listening, Teamwork, Mentoring, Adult Learner, Respect, Compassion, Empathy, Duty, Responsibility, Honesty, Integrity, Complete History-Chief Complaint, Review of Systems-Medications, Positive Findings, Negative Findings, Problem List, Differential Diagnosis |
Blueprint ID | Learning Objectives | 6988 | Discuss and/or demonstrate a patient-centered approach to interviewing and physical examination | 6989 | Demonstrate the attributes of effective small group learning | 7003 | Demonstrate doctor patient confidentiality without compromising patient case. | 7014 | Show sensitivity and professionalism as it relates to the physical exam. | 7015 | Demonstrate appropriate gowning and draping of patients during a physical exam. | 10064 | Complete both history and physical write ups with differentials and problem lists | 10495 | Demonstrate the attributes of professional behaviour | 10843 | Elicit from patients a complete history | 10844 | Perform a complete physcial examination on the patient | 10845 | Write medical histories and physcial examination results in the accepted medical format after each patient interview | 10846 | Orally present a comprehensive report of the patient encounter | | |
Blueprint ID | Course Goals | 7029 | Demonstrate a commitment to the profession by adhering to professional standards Linked Program Competencies To This Course Goal: pr-1 pr-2 pr-3 pr-4 | 7428 | Perform a complete and accurate patient-centred history and physical examination appropriate to the patient’s presentation Linked Program Competencies To This Course Goal: me-1 me-2 | 7429 | Apply clinical reasoning skills in developing a differential diagnosis and list of potential therapies Linked Program Competencies To This Course Goal: me-4 me-5 cm-3 cm-6 | 12000 | Demonstrate effective oral and written communication of findings in relation to the patient’s key clinical problems Linked Program Competencies To This Course Goal: cm-5 | 12001 | Demonstrate effective communication skills when delivering medical information to patients and families Linked Program Competencies To This Course Goal: cm-1 cm-2 cm-3 | pr-1 | Professional Demonstrate accountability to patients by applying best practices and adhering to high ethical standards. | pr-2 | Professional Demonstrate altruism and accountability to society by recognizing and responding to societal expectations in health care. | pr-3 | Professional Demonstrate integrity and accountability to the profession by adhering to standards and participating in physician-led regulation. | pr-4 | Professional Demonstrate a commitment to physician health and well-being to foster optimal patient care. | me-1 | Medical Expert Perform a complete and accurate patient-centred history appropriate to the patient’s presentation. | me-2 | Medical Expert Perform a complete and accurate physical examination appropriate to the patient’s presentation. | me-4 | Medical Expert Develop a differential diagnosis and key clinical problem list following assessment of a patient. | me-5 | Medical Expert Develop a management plan for key clinical problems following assessment of a patient. | cm-3 | Communicator Discuss relevant health care information and management plans with patients and their families. | cm-6 | Communicator Discuss effective strategies for communicating with third parties other than health care professionals. | cm-5 | Communicator Demonstrate effective oral and written communication of information associated with a medical encounter. | cm-1 | Communicator Develop and maintain appropriate ethical and therapeutic relationships, rapport and trust with patients and their families. | cm-2 | Communicator Collect and synthesize accurate and relevant information, incorporating perspectives from patients and their families, colleagues and other health care professionals. |
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