Curriculum Block

Objectives

• Perform a mental status examination of a patient with psychiatric illness.
• Perform patient interview in a patient centered manner, using verbal and non-verbal means to create an empathetic and respectful environment for a variety of patients (including the frail elderly).
• Demonstrate physical examination skills that reflect consideration of the clinical presentation as well as the comfort, age, development, and cultural context of the infant, child, or adolescent.
• The student is able to demonstrate proficiency in acquiring a complete and accurate paediatric history with consideration of the child’s age, development, and the family’s cultural, socioeconomic and educational background.
• To perform a complete gynecologic examination.
• To perform a complete obstetrical physical examination.
• To perform a comprehensive obstetrical and gynaecological history.
• Conduct a sensitive, focused physical exam relevant to the patient’s presenting problem.
• Demonstrate effective communication skills in conducting a patient centered interview, including exploring the patient’s illness experience as well as the family and social context.
• Demonstrate a focused history and physical examination.
• Perform focused history as part of the general medical history, including: chief complaint, present illness, surgical history, family history, and social history
• Conduct a general interview: learn specific skills that convey empathy. Take a psychiatric history in an empathic manner that enables the assessment of relevant psychological, medical and social factors. Adapt their interview techniques to deal with common sorts of "special" situations/patients (e.g., children, the elderly, those who don't speak English, those with communication or cognitive problems, use of interpreters, family members for collateral, etc.). Adapt their interview techniques to deal with common sorts of "challenging" styles (e.g., silent, over-talkative, angry, seductive, suspicious, passive, dependent, defensive, evasive patients, or those who deny they need help).
• Perform an appropriate physical examination relevant to the patient’s presentation, the history obtained, and the acuity of the encounter (includes mental status examination).
• Conduct an effective patient interview to elicit appropriate information in patients presenting with the required presentations/conditions listed in the priority topics below.
• Rectal examination
• Inguinal & scrotal examination
• Abdominal examination
• Chest & breast examination
• Perform a general physical examination with emphasis on:

Tags

1. Obtain a history and perform a physical examination adapted to the patient’s clinical situation Communicator Medical Expert Professional Scholar Clerkship Emergency Medicine Rotation Family Medicine Rotation Internal Medicine Rotation Obstetrics and Gynecology Rotation Pediatrics Rotation Psychiatry Rotation Surgery Rotation 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.