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