• Review of health maintenance practices, including exercise, safety device use, and preventive care • Complementary and alternative therapies • Pertinent review of systems • Interval history for chronic illness, including progression, regression, or stabilization Physical Examination The student should be able to perform appropriate complete and focused physical examinations on patients of any age or gender in any medical setting, demonstrating: • A complete, well-organized, and appropriately sequenced physical examination • Proper use of required physical examination equipment • Ability to communicate with patients of any age and in any setting in a clear, jargon- free manner • Attention to patient safety and comfort throughout the examination • Recognition of normal and abnormal findings across the lifespan • Clear, concise communication of physical examination findings to peers and supervisors Differential Diagnosis and Treatment Plan Formulation The student should be able to develop an appropriate differential diagnosis and diagnostic impression for each patient, demonstrating: • Sound clinical judgment in differential diagnosis formulation, with at least three diagnostic possibilities discussed • Ability to synthesize historical, physical, and diagnostic data into a coherent treatment plan • Effective written and oral communication of diagnostic impressions and treatment plans • Maintenance of a complete, up-to-date patient problem list with appropriate ICD-10 codes • Appropriate referrals for further evaluation and services Diagnostic Studies and Therapeutic Procedures The student should be able to identify, order, and assist with appropriate diagnostic and therapeutic procedures, demonstrating: • Ability to discuss and, with appropriate direct supervision, perform procedures
such as IV insertion, injections, urinary catheter insertion, wound suturing, splinting, gynecologic examination, arterial blood gas procurement, EKG
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