What are the four principal goals of the medical interview?
- Gather information
- Establish rapport
- Support and motivate
List the 7 components of the complete medical history.
- History of present illness
- Past medical history
- Past surgical history
- Family history
- Social history
- Review of systems
List the 7 dimensions of a symptom.
I use POLD CARTS - you can use whatever you like! Previous history Onset Location Duration Character Alleviate/aggravate Radiate Timing Severity
Distinguish between subjective/objective
Subjective: what they tell you
Objective: what you observe/measure yourself
What are the 5 required elements of a pediatric history?
- Nutrition – breastfeeding or bottle, how often, how long/much, if bottle feeding – what kind
- Elimination – how often, how much (for both poop and pee)
- Sleep – how often, how long, quality of sleep
- Immunization – what immunizations has the baby had
- Development – what is the baby able to do, not do
Who is it used for?
What are the components?
Adolescents –Home/Health –Education/Employment –Activity –Drugs –Depression –Safety –Sexuality
The “founder” of the PA profession and other key leaders in the PA profession
1942- during WWII Dr. Eugene Stead Jr. made a 2-3 year medical school program.
Bill Stanhope-1st AAPA president.
Dr. Richard Smith- developed the MEDEX model.
Establishment of the first physician assistant education training program.
The principle of the PA model came from Peter the Great in 1650, introducing Russian military feldshers to work in the community post military service. Much later Oct 6th 1965- 4 ex-navy corpsmen started at Duke for a 2year program- PA Program.
List the attributes of professionalism
Duty Accountability Honor/Integrity Altruism Excellence Respect
Name the 4 main PA professional organizations
American Academy of Physician Assistants (AAPA)
Physician Assistant Education Association (PAEA)
National Commission on Certification of Physician Assistants (NCCPA)
Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)
Function of AAPA
advocates and educates on behalf of the profession and the patients PAs serve
Function of PAEA
national organization representing physician assistant educational programs; responsible for collecting, publishing, and disseminating information on the PA programs
Function of NCCPA
the only certifying organization for physician assistants in the United States
Function of ARC-PA
defines the standards for PA education and evaluates PA educational programs within the territorial United States to ensure their compliance with those standards
- What do you call your problem?
- What name does it have?
- Why has it happened to you?
- Why now?
- What do you believe will help make the problem go away
Measures used to prevent the onset of a targeted condition. (Think immunizations)
Identification and treatment of asymptomatic individuals who have already developed risk factors or preclinical disease but in whom the condition has not become clinically apparent. (Think screening tests)
Measures that are part of the treatment and management of individuals with clinical illnesses
Primary Goal of Health Promotion
To facilitate behavioral adaptations that will improve or protect health – it is the process of enabling people to exert control over the determinants of their own health!
Primary Goal of Disease Prevention
Use health risk profiling and the appropriate use of screening and surveillance tests for early detection of disease
CAGE questions for problem drinking
C : Have you ever felt you ought to CUT DOWN on your drinking?
A: Have people ANNOYED you by criticizing your drinking?
G: Have you ever felt bad or GUILTY about your drinking?
E: Have you ever had a drink first thing in the morning (EYE OPENER) to steady your nerves or get rid of a hangover?