CIS components

Many people tend to underestimate CIS part of the exam. All the components are quite important starting from a simple smile to the hand shake. It is "HOW" its done not just that u have done it. Here are a list of what is expected:

1.greeting sp by name and self introduction
2.eye contact
3.respectful draping
4.wash hands
5.general demeanorappearance,dressing,hygieneof physician
6.sympathy
7.gentle touch[esp abdomen exam]
8.listening to the patient without interruption
9.counseling
10.closure
11.discussion of diagnosis and plans in layman terms
12.non-judgemental attitude
13.asking if patient has any concerns
14.consent before physical exam,also for hiv test
15.pull out footrest for patients lying down...rarely,there will be a patient whos so short that his/her legs dont stretch out enough,so its a good idea to pull it out before asking the patient to lie down.
16.make them comfortable..if they are coughing,offer a glass of water,if sneezing,offer kleenex
17.handshake[if patient is in pain,avoid this]

I will get into each component of those ponits later...,