US Library > Medical Assisting > General Procedures > Patient History

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Patient History NEW

Medical Assisting > General Procedures
This module provides knowledge on the medical assistant's role in taking patient history.

A patient history is a record of a patient's medical past, including previous illnesses, surgeries, and vaccinations, as well as information about the patient's current state of health. A key responsibility of a medical assistant is to take patient history. In this module, students will learn how to obtain and document needed information for patient history, and how to use therapeutic communication techniques to gather the needed information. 

You'll learn 

  • the type of information included in patient history
  • the steps for how to obtain and document patient history
  • how to document a patient's record using the SOAP format
  • how to identify barriers to communication
  • much more (see Content Details for more specific information)
Step 1 - Preparation
Step 1.1 - Equipment preparation
Step 1.2 - Medical assistant preparation
Step 1.3 - Patient preparation
Step 2 - Procedure
Step 3 - Complete the documentation
  • Demonstrate therapeutic communication feedback techniques to obtain information when gathering patient history.
  • Obtain and document patient history.
  • Respond to nonverbal communication while iterating with the patient.
  • Demonstrate correct documentation of the patient's record using the SOAP format.

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

  • an online simulation (available in Learn and Test modes)
  • descriptive text, which explains exactly how to perform that particular procedure including key terms and hyperlinks to references
  • 2D images and a 3D model of applied anatomy for that particular topic
  • a step by step video demonstration by an expert
  • a quiz
  • a personal logbook that keeps track of all the modules the learner has studied and how long

For more details on features and how your students can benefit from our unique system, click here.

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