1. PHYSICAL DIAGNOSIS R. MICHAEL RODRIGUEZ, M.D. ASSOCIATE PROFESSOR OF MEDICINE VANDERBILT UNIVERSITY SCHOOL OF MEDICINE

7. GRADING SCALE HONORS PASS FAIL

11. ASSESSMENT AND PLAN YOUR GOAL PHYSICIAN PATIENT RELATIONSHIP PHYSICIAN PATIENT RELATIONSHIP PHYSICAL * LAB HISTORY * DIAGNOSIS

12. OBSERVE, RECORD, TABULATE, COMMUNICATE. USE YOUR FIVE SENSES…. LEARN TO SEE, LEARN TO HEAR, LEARN TO FEEL, LEARN TO SMELL, AND KNOW THAT BY PRACTICE ALONE YOU CAN BECOME EXPERT. MEDICINE IS LEARNED BY THE BEDSIDE AND NOT IN THE CLASSROOM. LET NOT YOUR CONCEPTIONS OF DISEASE COME FROM WORDS HEARD IN THE LECTURE ROOM OR READ FROM THE BOOK. SEE, AND THEN REASON AND COMPARE AND CONTROL. BUT SEE FIRST… THAYER WS. OSLER THE TEACHER. BULLETIN OF THE JOHNS HOPKINS HOSPITAL 1919;30:198-200

13. 3 rd YEAR H&P A/P H&P PHYSICAL HISTORY INTERVIEW

15. THE INTERVIEW

16. A PRACTITIONER OF EXPERIENCE DOES NOT SEIZE THE PATIENT’S FOREARM WITH HIS/HER HAND, AS SOON AS HE/SHE COMES, BUT FIRST SITS DOWN AND WITH A CHEERFUL COUNTENANCE ASKS HOW THE PATIENT FINDS HIMSELF/HERSELF; AND IF THE PATIENT HAS ANY FEAR, HE/SHE CALMS HIM/HER WITH ENTERTAINING TALK, AND ONLY AFTER THAT MOVES HIS/HER HAND TO TOUCH THE PATIENT. AULUS AURELIUS CORNELIUS CELSUS 25 BC – 50 AD

30. I WISH I HAD TO SPEAK OF THE VALUE OF NOTE TAKING. YOU CAN DO NOTHING AS A STUDENT IN PRACTICE WITHOUT IT. CARRY A SMALL NOTEBOOK WHICH WILL FIT INTO YOUR WAISTCOAT POCKET, AND NEVER ASK A NEW PATIENT A QUESTION WITHOUT NOTEBOOK AND PENCIL IN HAND. WIILIAM OSLER 1903 THE STUDENT LIFE