Diagnostic Utility of the Physical Examination and Ancillary Tests
Number of patients with disease Number of patients without disease Total Test positive a (10) b (1000) a + b (1010) Test negative c (0) d (998,990) c + d (998,990) Total a + c…
Intuitive Versus Analytic Clinical Reasoning
25. Crandall B, Getchell-Reiter K. Critical decision method: a technique for eliciting concrete assessment indicators from the “intuition” of NICU nurses. Adv Nurs Sci. 1993;16:42–51.CrossRef 26. Tversky A, Kahneman D….
Recording the Patient’s History
Step Topic Objective of the recorded history I Patient’s profile Identify and report the relevant aspects of a patient’s personal and psychosocial history, in addition to risk indicators of disease…
Recording a Patient’s Personal/Psychosocial History and Examination of Asymptomatic Persons
Risk indicators of disease Age Gender Ethnic group Family history (health and age of parents, history of hereditary disorders in relatives) Occupation (exposure to occupational hazards) Living conditions (number of…
Learning and Teaching Physical Examination Skills by Clinical Context
Purpose of the examination (one or more of the following) Patient population and context Pediatric Adolescent Young adult Adult Geriatric Pregnant Detect conditions that require immediate treatment Neck rigidity and…
Overcoming Difficulties in Teaching Patient Interviewing
Poor patient–doctor communication: The doctor… … was in a hurry “kept looking at his watch” and “interrupted me repeatedly” … did not listen “appeared distracted,” “did not look at me,”“kept…
Recording the Clinical Data Base
© Springer International Publishing Switzerland 2015Jochanan BenbassatTeaching Professional Attitudes and Basic Clinical Skills to Medical Students10.1007/978-3-319-20089-7_11 11. Recording the Clinical Data Base Jochanan Benbassat1 (1) Smokler Center for Health Policy Research, Mayers-JDC-Brookdale Institute, Jerusalem, Israel…
Physical Examination Skills: Learning Difficulties
Context Signs or symptoms Possible causes/diagnoses Any context A preoccupation with death; feelings of hopelessness; acting recklessly (e.g. speeding); calling people to say goodbye; getting affairs in order Depression, suicide…
Teaching Behavioral and Social Sciences to Medical Students
Essential clinical skills: demonstrations and supervised practice in Doctor–patient communication skills (interviewing) Patient counseling (e.g., sharing of information, breaking bad news, discharge planning, instructions, and adapting management to a patient’s…
Difficulties in Learning and Teaching Patient Interviewing
Define the purpose of the interview as to collect history data that would guide the physical examination and ancillary testing, establish a trusting doctor–patient relationship , and relieve patient’s anxiety…
