Spanish and the Medical Interview,

1. Basics of Conversational Spanish
1.1 Pronunciation
1.2 Syntax and Grammar
1.3 Verb Conjugation
1.4 Addressing the Patient: Tú versus Usted

2. Setting the Stage for the Clinical Encounter
2.1 General Greetings
2.2 Addressing the Patient
2.3 Provider’s Introduction
2.4 Extended Introduction: Getting to Know the Patient
2.5 Setting the Agenda

3. History of the Present Illness
3.1 Basic Anatomy
3.2 Chief Complaint
3.3 History of the Present Illness

4. Past Medical History and Review of Systems
4.1 Past Medical History of Chronic Diseases
4.2 Past Medical History of Acute Diseases
4.3 Past Surgical History
4.4 Review of Systems

5. Medications and Drug Effects
5.1 Medication History
5.2 Allergy History
5.3 Medication Instructions
5.4 Drug Side Effects
5.5 Diabetes Medication

6. Family History
6.1 Naming Family Members
6.2 Talking about Family Life and Health
6.3 Family History

7. Social and Sexual History
7.1 Assuring the Patient of Confidentiality
7.2 Social History
7.3 Travel History and Special Exposures
7.4 Substance Use History
7.5 Sexual History
7.6 Review of Reproductive Systems

8. Mental Health and Cognition
8.1 General Mental Health
8.2 Spirituality and Health
8.3 Cognitive Assessment
8.4 Psychiatric History and Review of Systems

9. Preventive Health and Nutrition
9.1 Access to Preventive Medical Care
9.2 Preventive Routine Screening Tests
9.3 Adult Immunization History
9.4 Exercise and Adult Health Safety Screening
9.5 Diet History
9.6 Body Mass Index, Special Diets, and Recommendations

10. Pediatrics
10.1 Addressing the Pediatric Patient
10.2 Pregnancy, Delivery, and Neonatal History
10.3 Developmental History
10.4 Pediatric Safety
10.5 Immunization History
10.6 Infant Diet
10.7 Common Pediatric Illnesses

11. Physical Examination
11.1 General Physical Examination
11.2 Specialized Physical Examination
11.3 Physical Findings

12. Procedures and Informed Consent
12.1 Informed Consent
12.2 Discussing Common Procedures
12.3 Discussing Emergent Procedures
12.4 Advanced Directives

13. Impression and Plan
13.1 Physician’s Impression
13.2 Plan of Care: Additional Testing
13.3 Plan of Care: Treatment and Follow-up
13.4 Discussing Test Results
13.5 Delivering Bad News
13.6 System-Based Summary of Impression and Plan
13.7 Concluding the Visit

14. Knowing your Limitations: When and How to Use a Medical Interpreter
14.1 When to Use a Medical Interpreter
14.2 Types of Medical Interpretation
14.3 Working Effectively with a Medical Interpreter

APPENDIX
Abbreviated Spanish Medical Interview Guide
Extended Spanish Medical Interview Guide