I. Approach a patient of any age group in any setting to elicit an accurate, detailed history and physical examination and record that data in an acceptable fashion.

 II.       Develop strategies to alter history taking and physical examination approach according to the needs of a particular patient.

 III.       Develop and demonstrate the use of specific communication techniques to facilitate the history taking process.

 IV.       Communicate in a medically professional manner both orally and in writing.

 V.       Appreciate the health problems of the individual patient as well as those of population groups and to approach such with an attitude of professional concern.

 VI.       Be aware of available referral and counseling resources, evaluate the patient`s need for these services, and facilitate the patients entry into the counseling and referral systems.

 I. General Considerations

 A.        Purpose of interview

 B.        Introductions

 C.        Climate of trust

 D.        Nonverbal communication

 E.        Interview environment

 F.        Expectations of each participating party

 G.        Modifications of the Interview

 H.        Conducting the Interview

 I.        Types of questions

 J.        Questions to avoid

 K.        Validation of information nonverbal communication

 L.        Maintain flow and momentum

 II.       HEALTH HISTORY

 A.        Presenting symptoms

 B.        Mental Status

 C.        Biographical data

 D.        Chief complaint

 E.        Dimensions of symptoms

 F.        Past medical history

 G.        Past surgical history

 H.        Current health

 I.        Family history

 J.        Review of systems

 K.        Modifications of format, i.e. developmental

 L.        Medications

 M.        Allergies and reactions

 III.       Pediatric and Adolescent Patients

 A.        Parents and family as part of the interview

 B.        Confidentiality and other ethical issues

 C.        Physical and emotional abuse

 D.        Peer pressure

 E.        Substance abuse

 F.        Sex

 G.        Self image

 IV.       Mental Status and Psychological Evaluation

 A.        Evaluation tools

 B.        Family and other sources of information

 C.        When and how to refer

 V.       Geriatric Patient

 A.        Friends and family members as part of the interview

 B.        Intergenerational expectations

 C.        Physical obstacles

 VI.       Special/Difficult Situations

 A.        Language and/or cultural barriers

 B.        Disabled person ¿ injury, stroke, dementia, retardation

 C.        Personal or family crisis

 D.        Presenting bad news

 E.        Disruptive parents

 F.        Discussing sexuality

 VII.       PHYSICAL ASSESSMENT TECHNIQUES

 A.        Purpose of the Examination

 B.        Conducting the Examination

 C.        Basic principles

 D.        Equipment selection and preparation

 E.        Examination Techniques

 F.        Inspection

 G.        Palpation

 H.        Percussion

 I.        Auscultation

 J.        General Survey

 K.        Objective measurements of health

 L.        Appearance, posture and gait

 M.        Taking Vital Signs: Temperature, Pulse, Respirations, and Blood Pressure

 VIII.       SKIN

 A.        Review of Basic Anatomy and Physiology

 B.        Techniques of examination

 C.        Inspection

 D.        Palpation

 E.        Developmental Changes

 F.        Common Abnormalities

 IX.       HEAD AND NECK

 A.        Review of Basic Anatomy and Physiology

 B.        Techniques of Examination

 C.        Head

 D.        Inspection

 E.        Palpation

 F.        Eyes

 G.        Vision exams

 H.        Inspection

 I.        Palpation

 J.        Ophthalmoscopic exam

 K.        Ear

 L.        Hearing exams

 M.        Inspection

 N.        Palpation

 O.        Otoscopic exam

 P.        Nose and sinuses

 Q.        Inspection

 R.        Palpation

 S.        Special techniques

 T.        Mouth

 U.        Inspection

 V.        Palpation

 W.        Neck

 X.        Inspection

 Y.        Palpation

 Z.        Ascultation

 AA.        Developmental Changes

 BB.        Common Abnormalities

 X.       CARDIOVASCULAR

 A.        Review of Basic Anatomy and Physiology

 B.        Techniques of Examination

 C.        Inspection

 D.        Palpation

 E.        Auscultation

 F.        Special techniques

 G.        Developmental Changes

 H.        Common Abnormalities