Subject: Friend, Can You Really Be Trusted For Your Clinical Patient Interview?


Can You Really Be Trusted For Your Clinical Patient Interview?

History taking and physical examination skills are two of the core competencies being assessed in OSCE exams. That is why it is important to understand what is specifically needed to cover in a patient-physician clinical interview and how to perform and practice it.

Are your history taking skills thorough?

Are your physical examination skills correct?

Are your counselling skills effective?

Are your patient interviews time efficient?

If not, how can you be confident and stress free about the correctness of your clinical decision making and patient safety?

In a study “Ready to run the wards? – A descriptive follow-up study assessing future doctors’ clinical skills” by Bugaj et al posted in BMC Medical Education on December 2018, history taking and physical examination skills task performance of final year medical students and new medical graduates was not rated as sufficient for independent practice in most cases.

The study showed “Lowest scores were yielded for case presentation with 39-46%, followed by history taking with 48-58%, and physical examination 55-59%”. “During their rotation, students improved significantly in all four activities with regard to the global clinical competence ratings. However, the results of the overall ratings show that the students’ level of performance was not deemed sufficient for unsupervised practice in most cases. Furthermore, the analysis of average scores revealed that student’s overall performances differed significantly”.  

Less than half of final year medical students and new medical graduates performed satisfactorily!

“The lack of supervision is a critical point considering the fact that all of these activities constitute elementary and routinely performed day-to-day skills with high relevance for diagnosis, clinical decision making, and, ultimately, treatment plans. Ensuring high performance and professionalism in these basic clinical competencies is indispensable for patient-safety”.

“In summary, when it comes to on-ward training, there are three basic principles in medical education regarding deliberate practice: 1) “the more you practice, the better you get”, 2) “you can only improve activities you do”, and 3) “you can only learn what is taught”. Therefore, to ensure efficient and well-balanced practical education, laissez-faire (a policy or attitude of letting things take their own course, without interfering) is not enough”.

As you see, history taking and physical examination clinical skills cannot be left to medical professional to learn without a structured frame.

The OSCEhome Systematic Approach to the patient interview and OSCEs, which is been used successfully by over 4000 OSCE candidates since 2005, is carefully structured to cover all needed clinical data gathering and organized in a time efficient manner that incorporates effective communication skills a s well.

Try OSCEhome approach today. It is a step by step flowcharts for the patients' interview and OSCEs of any complaint in any specialty. Visit  now and try it.
The OSCEhome 12 ebooks package is designed to be compatible for any OSCE.

It contains detailed step by step instructions about WHAT to ask or perform,
WHEN to ask or perform, and HOW to ask or perform.

Just memorize them, then practice, practice and practice them and you will be on a stress-free mistake-free autopilot mode !

The OSCEhome 12 ebooks are electronic ebooks that can be downloaded to your
computer or tablet.

OSCEhome ebook package can be installed on two devices/computers.

It is compatible with Windows PC, Mac, iPad, and Android devices.

You will be able to print all or just parts of the 640 pages as well as annotate, highlight, and adding your comments.

OSCEhome offers 60 days risk-free. If you find them invaluable for you, uninstall them and we will sent you a refund.

You can order it online now here:
(Copy paste the whole line to your internet browser address bar).

Have a nice day.

Dr Al Imari.