use of medical jargon, leading questions, assumptions, judgement
Introduce self, wash hands, tell patient what to expect
End of exam
provide clear closure and ask if they have questions
Onset, location, duration, character, aggravating, relieving, timing, symptoms
use verbal/nonverbal communication, open question.
ask meds, allergies, hospitalizations/surgeries/ed visits, chronic disease, recent disease/exposure
chronic or acute medical conditions
immunizations, paps, colonoscopy, regular physicals, seat belts, helmets, safe sex, etc. "What do you do to stay healthy?"
living arrangements, safe at home, depression screening
work, adls, school, sports
physical exam criteria
focused exam on chief concern and history, organized manner, avoid excessive repositioning, critical exam techniques for chief concern, no "shot gunning"