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Reflective Writing on History Taking

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Reflective Writing on History Taking
CLINICAL SKILL LEARNING (FFFF1521)
REFLECTIVE WRITING ON HISTORY TAKING
By Fatin Nur Liyana Binti Mohd Zain, MD UKM (BMD 205312)

The first lecture on history taking that I had attended was conducted by Dr Yambao. It was an introductory lecture in understanding the basis of taking history from the patients and the effective skills on how to come out with a complete history of patients in order to identify one’s disease. It was an interesting lecture to me but far more interesting when I entered the clinical skill learning session (CSL). In CSL classes, I had acquired the idea and illustrations on how history taking is done with the help of Dr Min Zaw Aung, my facilitator for CSL Module.

After few classes on CSL, including history taking on presenting illness, past medical, surgical, family and social history as well as history taking in paediatrics and women, I had better acknowledged myself in the process and techniques. However, it wasn’t that easy as I thought to carry out the history taking myself. Dr Min Zaw Aung had taught me very well in doing the history taking. Me and my CSL group members was given cases and practiced on history taking among ourselves with Dr Min Zaw Aung’s guidance. Then, comes the session where I had to do the real history taking, with the real patient at the Kepala Batas Hospital near the campus.

I was excited at the beginning as I would be able to see real patients and talk to them. At the hospital, I was assigned a task on history taking in the women’s ward together with my team-mates. Later that day, I became very nervous as I thought that I wasn’t prepared to do the history taking with them. Dr Min Zaw Aung had divided the group in pairs and each pair had to take the history from one of the patient in the ward.

The patient that I got was a Malay woman aged 43 years old with diabetes and a wound on her right toe. She was so friendly and she had given a good cooperation so that I and my friend can conduct the

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