Monday, 9 June 2008

history taking guidance

it is improtant to be aware how you will be marked in the history taking skills station:

click to enlarge.

PACES guidance notes (MRCP UK):
waht you have to do:
1-take history focused on the question raised in the referral letter and on additional important issues refealed by consultation.
2-incorporare details of the social history and the activities of daily living which are relevant to the case.
3-you are expected to agree a summary and plan of action for the patient at the end of the interview.
4-when questioned by the examiner over the last 5 minutes of the station,you must be able to state the problems elicited in the history and how you would manage them giving your reasons.

the examiners will assess you on:
1-an adequate knowledge of the medical condition in question,and their investigation and treatment.
2-did you communicate effectively with your patient in a tructured but flexible way using intelligible language and avoiding jargons?
3-did you establish good rapport with the patient?
4-did you show good judgement in your management?

suggested preparation to improve performance:
1-in the course of your work,take as many purposefull analytical histories as possible an practice always make a differential diagnosis,with the most likely diagmosis on the top.
2-practice quantifying patients' disabilities and associated problems and assess the importance of personal factors in their illness.
3-practce drawing up management plans for patients under your daily care and discussing these with senior colleagues.

1 comment:

  1. Thanks for sharing MRCP exam material.Really i found it was great.Its very useful for examination perspective.Diploma in MRCP is mandatory requirement for medical physician to become specialist.After reading this blog containing MRCP course material, my confidence level will rise up.