- What differences do you note between the two H&Ps?
- I noticed that I’m missing some pertinent information in the HPI of my first H&P that could have possibly explained the reason for why the patient had a stroke in the first place. My plan was also lacking information, whereas my plan for my third H&P was much more detailed. I also included more differential diagnoses in my third H&P.
- In what ways has your history-taking improved? Are you eliciting all the important information?
- I’ve gotten better at asking the appropriate questions to come up with my differential diagnoses. I’ve also gotten better at obtaining all the information for the ROS.
- In what ways has writing an HPI improved? (hint: look at the rubric scores)
- I got better about thinking about pertinent positives and negatives and including them in my HPI which helped guide me in terms of differential diagnoses.
- What is your self-assessment of your current skill in performing a physical exam? Which areas do you feel strongest about/weakest about?
- I think I do well with performing a physical exam. I am very good at remembering all the components and have developed a systematic approach. The issues I ran into with performing the physical exam is timing in real world settings; most of my patients were either in a rush to get out or lacked the mobility for me to perform a full physical exam.
- 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 feel that there’s always room for improvement for formulating a well-written and thought out HPI. Although I’ve gotten better with asking the right questions for pertinent positives and negatives, I still think I can do better.
