Patient Care Experience

Students transition from a screening history and physical examination of patients without a chief complaint to a problem-focused history and physical examination for patients with a chief complaint. Emphasis on: 1) Generating differential diagnoses; 2) Obtaining a problem-focused history; 3) Performing a problem-focused physical examination; 4) Obtaining medical histories on patients; and 5) Documentation in a SOAP note format. Will practice formulating assessments along with diagnostic and treatment plans through interactive Objective Structured Clinical Examinations (OSCEs), and the review of case-related physical examination elements. Individual case-based OSCEs provide students the opportunity to conduct history and physical examinations on patients of various ages with different presenting complaints.

A continuation of CMEDG 1613 with these major teaching goals: 1) Continue to develop skills in performing a problem-focused history and physical examination in an Objective Structured Clinical Examination (OSCE), or standardized patient with a chief complaint; 2) Review of case-related physical examination elements. Emphasis is on: a) obtaining a problem-focused history; b) performing a problem-focused physical examination; c) performing the history and physical examination professionally with appropriate interpersonal skills; d) generating reasonable case-based differential diagnoses; and e) providing proper documentation skills by writing an appropriate case-based SOAP note. 3) Provide experience in properly performing a female breast/pelvic examination and male genitourinary/prostate examination.