Know and use the language of physical examination techniques, findings and structures.
Relate the physical examination to normal anatomy and physiology.
Relate the physical examination to abnormal and anatomy and pathophysiology.
Know variations in physical exam techniques for use with children and elderly.
Know and use the language of medical interviewing and communications techniques, focusing on the techniques of open-ended inquiry and an empathic, humanistic approach.
State the goals of the doctor-patient encounter: establishing rapport, data acquisition, educating and enlisting the patient.
Identify the key components of the patient data base gathered in the encounter: patient identification, chief complaint, history of present illness, past medical history, medications, allergies, habits and hazards, social history, family history, review of systems, and physical exam findings.
Identify the key components of the history and physical write-up, SOAP note and oral presentation.
Perform basic physical examination techniques on adults and children in the following:
- General Assessment (Vital Signs)
- Extremities and Back
- Chest and Lungs
- Head and Neck
- Skin, Hair and Nails
- Neurologic and Mental Status
Perform sensitive/invasive physical examination techniques on adults in the following areas:
- Gynecologic and Breast
- Urologic and Prostate
- Recognize some abnormal physical exam findings.
Obtain an accurate medical history that covers all essential aspects of the history, including issues related to age, gender, and socioeconomic status.
Practice basic open-ended inquiry: Invitation, Listening and Short Summaries (ILS)
Practice communicating empathy to your patients, identifying their ideas, values and feelings.
Practice alternating between a patient-centered (ILS) and doctor-centered interview process when appropriate.
Practice skills for enlisting patients in behavior modification.
Communicate with patients that present more challenging interview issues.
Reason deductively in solving clinical problems.
Communicate effectively, both orally and in writing, with patients, patients’ families, colleagues, and others with whom physicians must exchange information in carrying out their responsibilities.
Practice compassionate treatment of patients, and respect for their privacy and dignity.
Uphold and promote the ideals of medical professionalism, understanding it as the basis of medicine’s contract with society and recognizing the fundamental principles of primacy of patient welfare, patient autonomy and social justice.
Understand and respect the roles of other health care professionals and the need to collaborate with others in caring for individual patients and in promoting the health of defined populations.
Recognize and accept limitations in one’s knowledge and clinical skills, and a commitment to continuously improve one’s knowledge and ability.
Recognize the importance of cultural, ethnic, racial and religious diversity and its impact on society, health care delivery, and the workplace.