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OSCE Checklist for Psychiatry History taking
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- Queens University Belfast (QUB)
OSCE Checklist for Psychiatry History taking as an undergraduate medical student
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Clinical Histories
❑ Wash your hands
❑ Introduce yourself with full name and role
❑ Patient details confirmed (Name, DOB, Past medical history Social History
Address/Hospital number) ❑ History of presenting complaint ❑ Smoking status
❑ Explain purpose of consultant and gain ❑ Any investigations completed ❑ Alcohol intake
consent to proceed ❑ Treatments tried in the past ❑ Recreational drug use
❑ Current treatment +/- efficacy ❑ Employment / education
❑ Open-ended question to illicit presenting ❑ Past medical history ❑ Driving status
complaint. ❑ Past hospital admissions ❑ Activities of daily living support
o “What can I do for you today?” ❑ Surgical History ❑ Dependents +/- contact with children
o “Tell me about what has been going ❑ Living arrangements
on for you lately” ❑ Recent contact with unwell persons
❑ Relationships +/- Sexual contacts
❑ Marital status
Presenting complaint + history of Drug History ❑ Finances
❑ Travel history
presenting complaint: ❑ Allergies
❑ Forensic history
When did it start? ❑ List of current medications
Did it start suddenly or gradually? ❑ Over the counter medications /
Has it changed since it started? supplements
o Better? ❑ Compliance recently
o Worse?
Constant or intermittent?
o How long does it last each time?
Systemic symptoms
o Is there a pattern to its recurrence?
Severity Family History ❑ Weight loss
What were you doing when it started? ❑ Any inherited conditions in the family? ❑ Night sweats
What do you think brought it on? ❑ Any conditions affect many generations ❑ Energy levels/Malaise
Exacerbating factors in the family?
Relieving factors
If pain, can you point to it?
If pain, can you describe it?
If pain, does it radiate?
Loss of function / Impact on daily life
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