Reflection between H&Ps
- What differences do you note between the two H&Ps?
My H&P from the first semester was lacking details and came off as vague in many aspects of the HPI and ROS. Also, the HPI certainly didn’t flow well, was all over the place and my medical terminology was off, making it sound awkward. - In what ways has your history-taking improved? Are you eliciting all the important information?
I initially had a difficult time with history taking but during my last site visit I felt like I knew a little more about diagnoses and therefore knew follow up questions that were pertinent. I could always improve in my history taking however I do feel like I have a better understanding on what the focus should be on. I also feel more confident in my history taking skills and rarely had to look at the outline when interviewing my last patient. My medical terminology has also improved. - In what ways has writing an HPI improved? (hint: look at the rubric scores)
My HPI writing skills has improved in that I am able to incorporate OLD CARTS more effectively and able to elicit pertinent information in order to establish a diagnosis. - What is your self-assessment of your current skill in performing a physical exam? Which areas do you feel strongest about/weakest about?
My current skill in performing a physical exam has improved since the first semester, I think I have a better flow of how I like to conduct the physical exam, however, I do forget some things and have to look back to ensure I was able to complete the whole exam. I can also definitely improve on technique and speed. I have more confidence in interviewing patients and I find that patients feel comfortable talking to me which is important in establishing a good rapport with the patient. - Of course we expect you to get stronger in all areas, but which of the specific areas will you target as needing particular focus in future patient visits when you start the clinical year?
I’ll be practicing physical exams, so I can breeze through it without stopping awkwardly to check if I missed any steps. I could also use improvement in my HPI – asking questions and writing it out as well as asking my patients about personal things such as sexual history.
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