Exploration of the 8-3-2 integrated consultation strategy in medical history taking education

doi:10.3760/cma.j.cn115259-20241101-01135

Chinese Journal of Medical Education ›› 2025, Vol. 45 ›› Issue (10): 769-773.DOI: 10.3760/cma.j.cn115259-20241101-01135

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Exploration of the 8-3-2 integrated consultation strategy in medical history taking education

Sun Junsheng¹, Yuan Fuzhen¹, Yao Dingye¹, Zhang Eryao¹, Ren Jingjing²

¹Department of General Practice, Longgang District Central Hospital of Shenzhen & Shenzhen Clinical College of Medicine, Guangzhou University of Chinese Medicine, Shenzhen 518116, China;
²Department of General Practice, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China

Received:2024-11-01 Published:2025-09-28
Contact: Ren Jingjing, Email: 3204092@zju.edu.cn
Supported by:
Guangzhou University of Chinese Medicine Teaching Quality and Teaching Reform Project (GZUCM Office Document [2024] No.278);Teaching Quality and Teaching Reform Project for Undergraduate Universities in Guangdong Province (Guangdong Higher Education Letter [2023] No.4); Funding for the Construction of Key Medical Disciplines in Longgang District, Shenzhen (2024-2027); National Natural Science Foundation of China (72274169)

Abstract

Abstract: Aiming to address the existing problems in medical history taking education, this study innovatively proposes the 8-3-2 integrated consultation strategy. This strategy incorporates eight elements of traditional consultation, three dimensions of ICE (Ideas, Concerns, and Expectations) consultation, and two techniques of open-ended and closed-ended questioning, establishing a systematic framework for medical history taking. The PROVIDe implementation steps were designed and applied in teaching practice through methods such as mind mapping, scenario-based memorization, and scenario practice. Preliminary results showed that trained interns demonstrated significant improvement in their medical history taking ability scores [(7.13±1.46) vs.(10.94±1.60),P<0.001]. The 8-3-2 integrated consultation strategy provides medical students with a more systematic framework for present illness history taking, effectively enhancing their clinical thinking abilities and doctor-patient communication skills, thus offering new insights and methods for reforming medical history taking education.

Key words: Clinical medicine, Medical history taking, Integrated consultation strategy, Teaching methods

CLC Number:

R-05

Sun Junsheng, Yuan Fuzhen, Yao Dingye, Zhang Eryao, Ren Jingjing. Exploration of the 8-3-2 integrated consultation strategy in medical history taking education[J]. Chinese Journal of Medical Education, 2025, 45(10): 769-773.

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Exploration of the 8-3-2 integrated consultation strategy in medical history taking education

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