Interview Basics 2

Question 1

Interview itself

Answer 1

note taking (use abbreviations), subjective portion (open-ended questions first, then more focused), exam

Question 2

Chief complaint

Answer 2

patient’s main reason for visiting the doctor - in patient’s own words

Question 3

HPI

Answer 3

History of present illness - their story about how they’ve been feeling and why they are seeing you

Question 4

OLDCAAARTS

Answer 4

pneumonic for details of HPI
Onset (when, what doing, ever happened before), Location (anatomic position of symptoms), Duration (constant vs come and go), Character (adjectives), Alleviating/Aggravating/Associated symptoms, Radiation (same pain vs diff pain), Timing (throughout day), Severity (rate 0-10, how much does it affect their daily life)

Question 5

Associated symptoms

Answer 5

Anything else going on that may be related to the chief complaint. Tends to be in the same body system. (N/V/D)

Question 6

Review of Symptoms

Answer 6

find out other issues the patient may have, and can guide to see associated symptoms for HPI.
** For exams - must ask at least 2 symptoms from 2 different systems, cover 3 symptoms minimum

Question 7

Remaining subjective data

Answer 7

ROS
Previous Medical History
Previous Surgical History
Medications (Rx, OTC, Supplements) - dose and timing
Allergies (and reactions associated with)
Family history
Social History