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INTERVIEWING SKILLS

Compare and contrast the components of the history that should be obtained for different types of visits (e.g., first visit, acute care, health supervision).
Determine when it is appropriate to obtain a complete medical history, vs. a focused, or interval history.
Describe how to modify the interview depending on the age of the child, with particular attention given to the following age groups: toddler/preschooler, school-aged child, adolescent, including when to address questions to child versus parent.
Describe social, language and cultural factors that affect the interaction with the patient and family.
Be able to obtain the following information in an appropriate manner from child and or the accompanying adult.:
Past History

Neonatal history, including:

Birth weight and approximate gestational age
Maternal complications, such as extent of prenatal care, infections, exposure to drugs, alcohol or medications
Problems in the newborn period, such as prematurity, respiratory distress, jaundice and infections
Immunizations
Growth and development
Nutrition

Family History:

Age and health of family members
Known genetic disorders
Diseases with a genetic contribution, such as diabetes, cardiovascular disease, psychiatric illness, cancer
Drug and alcohol abuse

Social History:

Household composition
School and peer relationships

Environmental and Personal Safety Assessment:

Seat belts and car seats
Bicycle helmets
Firearms in the home
Smoking
Lead exposure
Home safety for infants and toddlers

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Interviewing

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Structured Clinical Observation Form

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