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PBS 2.1.1

After 4 years of medical school, medical doctors complete specialized training in a field of interest

May specialize as surgeons, in certain body systems, or in specific diseases

Primary Care Physician - specialist trained to work in the front line of a healthcare system and provide care for any health problems patient might have

Usually first contact for person with basic health concern

Provide routine checkups and physicals, provide ongoing care to people with chronic illnesses - persistent and long-lasting illnesses

Medical Student - student enrolled at medical school, training to be a physician

Medical Technician - uses sophisticated equipment, has many different responsibilities

Some work directly with patients and others work in a lab

Medical Assistant - unlicensed caregiver who works primarily in doctors’ offices and clinics

Assist their medical director through wide variety of duties

Nurse - licensed healthcare professional, skilled in promoting and maintaining health

Patient Liaison - works with patients and families to address their needs and concerns

Intermediary between parents, their families, and hospital administration

Non-Physician Practitioner - health care provider who practices in collaboration with or under supervision of physician

Examples: Nurse practitioner, clinical nurse specialist, physician assistant

Pediatrician - specialist physician who provides medical care to infants, children, and adolescents

Genetic Counselors - advise families on their risk for inheriting or passing on certain diseases


Medical Interviews - conversation held with patients to record medical history

Doctors must skillfully converse with patient to get to heart of issue quickly, while also building relationship of trust and showing compassion

The following must be collected during the interview:

  1. Medical History - record of information about patient’s past and current health, includes info about patient’s habits, lifestyle, and family health

  2. Chief Complaint - patient’s description of what they feel is their main health problem

  3. Physical Signs - pieces of evidence that indicate illness that can be observed externally - coughing, rashes, elevated temperature

  4. Symptoms - subjective evidence of disease patient perceives - aches, nausea, fatigue

    1. Allow health care provider to narrow down possible conditions that are affecting patient and run tests to make a diagnosis

Physical signs and subjective symptoms alone not enough evidence to provide diagnosis - identification of patient’s disease or injury

Must listen to patient - not just listen to words that are spoken, but look at subtle physical and visual cues

Patient might not be able to verbalize their condition or too shy/embarassed to directly state their issue

If cues are somewhat off - might point towards diagnosis

In the US, typical doctors visits are 15-20 minutes - important that doctor is efficient in throughtful in deciding what questions to ask

Accurate medical history can be more important than physical examination or results of laboratory tests

2/3 of diagnoses can be made using medical history alone

Also makes physical examination more productive, time-efficient - health care provider can focus on any clinical hypotheses generated during interview

Tips for Effective Conversations:

  • Establish rapport - sympathetic and positive relationship, & keep conversation friendly

  • Sit across patient and make eye contact, be ready to take brief, concise notes - avoid looking down at notes while asking questions or listening to answers

  • Take questions one step at a time, truly listen to patient - pay attention to facial expressions & gestures (important ones → clues for follow up questions)

  • Be respectful and open minded - don’t make prejudgments or assumptions about the patient

Components of a Medical History:

  • Current History - patient’s chief complaint and any other current health issues, symptoms, treatments/tests had to will be done related to these conditions

    • Includes nutrition, allergies, medication, health habits (exercise)

  • Previous History - includes information about past health issues, procedures, medications, vaccinations, and previous hospital stays

  • Social History - addresses aspects of patient’s life - living situation, occupation, school, travel, other activities with direct/indirect impact on health

  • Family History - medical information about patent’s close relatives (inherited health conditions)

Clinical Empathy - medical interview serves to build complete medical history, conversation should also be about establishing trust and ongoing relationship

Conversation not only about what doctor asks, but HOW they ask

Demeanor - outward behavior/bearing

Tact - discretion and sensitivity in dealing with others (choosing words carefully to not upset patient when they deliver bad news)

Empathy - ability to understand and share feelings of another person