Consultation & History Taking
Consultation and taking a clinical history 2023-24
School Of Medical And Health Sciences
Module - Semester 1
Topics may include:
- Illness behaviour and consulting behaviour
- Explanatory models and folk illness
- Asking the right questions concerning the patient’s presenting complaint i.e. the patient presenting with chest pain.
- Setting Ambience
- Building rapport
- Information gathering
- Determining the patient’s goal for consultation and achieving concordance with management plan
- Patient education/counselling
- Discussion of the management/treatment of illness
- Closing the interview
- Ethical and legal factors affecting clinical decision making e.g. patient’s right to information
-threshold -Basic understanding of the facts and principles specific to the topics covered in this module. Basic understanding of professional accountability issues. Students will be required to achieve a minimum of C- grade in the assignment to in order to pass the theory component of the module.
-good -Very good understanding of the facts and principles specific to the topics covered in this module. Good understanding of professional accountability issues. This equates to a minimum mark of Grade B- in the Grading Criteria. -excellent -Excellent understanding of the facts and principles specific to the topics covered in this module and evidence of additional evidence gained by the student. Very good understanding of professional accountability issues. This equates to a minimum mark of Grade A- in the Grading Criteria
- Analyse the professional accountability of the practitioner when making clinical judgements
- Critically analyse and apply methods of communication
- Demonstrate a thorough understanding of the wider issues of psychological and sociological aspects of health
- Demonstrate an integrated approach to care through presentation of concise case histories of specific patients
- Demonstrate competence in history taking
- Demonstrate critical thinking and diagnostic reasoning skills in clinical decision making
- Demonstrate effective communication skills within the context of the consultation and within the practice setting
- Demonstrate the skills required to make effective clinical judgements
- Develop and demonstrate skills in empathic and therapeutic communication
- Explore ethical principles within the context of clinical decision making
- Use clinical judgement in the formation of management decisions in acute and chronic disease
A reflective assignment of 3,500 words which focuses on critically analysing a consultation issue related to one of the histories submitted as part of the portfolio.
Contribution to a reflective Journal/blog which relates to the students experience of taking a clinical history. The student will be expected to post a reflective blog entry (minimum 200- 300 words weekly) for eight weeks discussing any anonymised patient encounters, associated with taking a clinical history or related to any illnesses/conditions covered in the module or managed in clinical practice. The student will also be expected to comment on at least one of their peer’s postings per week.
Clinical Practical Assessment
Students must achieve competence in history taking during their period of learning in practice. The mentor will use the Practice Assessment Document to document their assessment of these competencies.
Logbook Or Portfolio
The student should include a clinical log signed by their mentor which briefly details the hours of work completed. Three anonymous patient histories one of which relates to the reflective assignment should also be included.