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zsabe, abdo1000, Dr_Osler, drsaima
This is the system i used in my own exam , hope it helps you ya jama3a
remember intro "hello, XYZ , my name is Dr blablabla , i am the physician in the office (u can say president of USA if u want! , whatever! lol) i want to ask u a few questions and possibly examine u , are u ok with that? are you comfortable in this room?? ok sir so how can i help u today (smile)
then he/she says i have "WATERMELON" :P (chief complaint)! ...... and say "oh am very sorry about the WATERMELON u r experiencing sir, i will definately try to do my best to help you with that as much as i can as soon as possible (Show sympathy! no touching though!)"
during taking history u have to stop for a couple of times to make it sound logical and not sound like a robot!
First time: after finishing PMH before family tell patient " So mr. XYZ am going to ask you a few questions about your personal history, is that ok with you? and please be sure that EVERYTHING WE DISCUSS IS GONNA BE STRICTLY CONFIDENTIAL, OK?"
Second time: right before Sexual History, "i have to ask you a few qs about ur sexual history, and again i would like to confirm to you that everything we discuss will remain strictly confidential"
Before finishing: Ok so mr. XYZ based on the Hx you have given me it seems you are experiencing blablabla (short summary).....Then: Ok so mr flan i have to do you a quick physical examination , do u mind?.....he/shell say NO ..... so u say "if ull excuse me ill wash my hands now " he/she will say OK! :P , and during washing hands i used to LOOK AT PATIENT ( TO KEEP EYE CONTACT) and ask them "SO WHAT DO YOU DO FOR A LIVING?", followed by (during drying my hands) " SO IS THERE ANYTHING ELSE YOU WOULD LIKE TO DISCUSS THAT WE HAVENT COVERED SO FAR?"
one last thing! The OUTRO!
After Closure + Counselling : "Do you have any other questions or concerns? Ok mr WXYZ , thank you very much! it was pleasure meeting you and i look forward to seeing you again ! (Smile!)
Intro and everything else is good but just offer room comfort for headache cases. It might seem irrelevant in other cases even if you're trying to be a good salesman. Besides that, everything else is good for this test and for life too.
Remember George Carlin's Advertising
"Quality, value, style, service, selection, convenience
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