Clinical Skills Home
Dress Code in Clinical Environments
Please see the College of Medicine dress code. For all real or simulated clinical learning activities (e.g., those that involve patients or standardized patients), all students must maintain an appearance that demonstrates respect and meets professional standards. You will receive feedback about the professional appropriateness of your grooming and attire from standardized patients, faculty, portfolio […]
Clinical Skills History and Physical Examination Documentation Example
Date/Time of Encounter: Source/Reliability: Patient Identification: History Chief Complaint [in patient’s own words, if possible] History of Present Illness [Patient’s history of current illness] [Pertinent positives and negatives] Use CLOSER for symptom description. Use OPQRST.AAA to elicit details of pain. Medications [current medications, dosages, route of administration; generic names only] Allergies [allergies to medications and if […]
Guide to the Medical History
Protect Patient Confidentiality: DO NOT include any Protected Health Information (PHI) in your real patient write-ups. You may report their age but not date of birth, and do not include their first or last name. It may be easiest to make up a fictitious name and include it in quotes in the Pt ID section at the very beginning of the write-up. […]
Physical Examination
Always use proper introduction and hand hygiene techniques, offer patient a chaperone, and make sure the patient is comfortable and gives permission for the next tasks. Explain to the patient what you will be doing, and as much as possible, what you are learning/finding as you go along. Some parts of the examination are combined […]
Medical History
These following lists represent a more complete history than you may be asked to take. Always set the stage for the interview. Then go through the sections you are asked to perform or that are relevant to the OSCE station (e.g.,“your preceptor has asked that you gather a complete social history,” “please gather a complete […]
Clinical Skills Workshops
The following resources are intended as a guide as you interact with patients in real and simulated environments. Please use the history and physical examination templates as guides to the Elson S. Floyd College of Medicine format for the patient record.
APM Clinical Skills Checklists
The following clinical skills checklists are appropriate for meeting course objectives in FMS 501–503, then FMS 511–513 and to meet year 1–2 milestones toward the Elson S. Floyd College of Medicine graduation competencies.