- Know and use the language of physical examination structures, techniques and findings.
- Relate the physical examination to normal anatomy and physiology.
- Relate the physical examination to abnormal anatomy and pathophysiology.
- Know variations in physical exam techniques for use with children and the 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 database gathered in the encounter: patient identification, chief complaint, history of present illness, active medical problems, 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 areas:
- 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 patient data base, including issues related to age, gender, and socioeconomic status.
- Practice basic open-ended inquiry.
- Practice building relationships with patients through empathy, eliciting their perspective, and reflective listening.
- Practice a relationship-centered approach to the encounter, negotiating and balancing patient-centered and doctor-centered agendas.
- Practice explaining and planning communication skills such as assessing patient knowledge, and contracting for next steps to collaborate with patients in behavior modification.
- Communicate effectively, using a relationship centered approach, in difficult clinical encounters.
- 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 writing a full history and physical, SOAP notes and performing oral presentations.
- Reason deductively in solving clinical problems.
- Practice compassionate treatment of patients, and respect for their privacy and dignity.
- Uphold and promote the ideals of medical professionalism in all interactions with patients, colleagues, staff and faculty.
- 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.