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HISTORY TAKING FOR YEAR 3 PRESENTED BY ASH AND YASMINEWhat will we cover? 1. History taking BASIC structure 2. ICE 3. SOCRATES 4. Roleplay ;) 5. Top tips for history taking 6. QuestionsHistory Taking Basic Structure: Introduction 1. #hellomynameis 2. Confirm patient identity 3. “what would like to be called?” 4. Gain consent of history taking 5. Ask if they need or want a chaperone 6. Clean hands (this is mainly for OSCEs)History Taking Basic Structure 1. PRESENTING COMPLAINT 2. History of presenting complaint – SOCRATES and ICE (next slides) 3. RED FLAG SYMPTOMS? (not red flags that give you the ick lol) 4. PMH 5. Drug history 6. Family history 7. Social historySOCRATES What does SOCRATES stand for? S – site O – onset C – character R – radiation A – associated symptoms T – timeline E – exacerbating factors/relieving factors S – severity (out of 10) – 10 being the worst pain imaginableICE IF YOU DO NOT ICE, YOU WILL FAIL YOUR OSCE STATION!!!!! What is ICE? Ideas, concerns, and expectationsHow would YOU phrase ICE to a patient? You will now be put into breakout rooms where one of you will be asked to take a history from one of us. This will take 10 minutes. Roleplay ;) Don’t worry, this is a great chance to practise and gain feedback. You will be doing this all the time in third year and onwards!Top Tips for History Taking 1. BE CONFIDENT – FAKE IT ‘TIL YOU MAKE IT 2. SMILE! Politeness goes a long way and it makes the patient feel at ease with you 3. Show interest in the patient’s life – they’re not just for machines that churn out histories 4. Make sure to ask open and closed questions 5. EMPATHY!!! This shows that you actually care about what they are saying 6. Watch your body language (even on Zoom) 7. Take as many opportunities to present or practise taking histories on the ward – this is literally OSCE/CCA practice!Any questions about third year in general or history taking?Thank you for coming JJJ