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Class of 2023
Session Information

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Session Title:
History Taking and Physical Examination Sessions
Teaching Hours:
Teaching and Learning MethodsTotal 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

Teaching and Learning Methods
Simulation 24 hour(s)

Learning Objectives
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

Linked Course Goal(s) to Session
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
Linked Program Competencies To Course Goal(s)
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.

Linked MCC Medical Expert Objectives
Medical Expert
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