History-taking for medical students. I-Deficiencies in performance.

A videotape analysis of histories conducted by 50 senior medical students was carried out to assess their history-taking skills. As predicted, serious deficiencies (similar to those evident in inexperienced medical students) were found. It is argued that traditional methods of clinical training fail to equip medical students with adequate history-taking skills. They should be given a more appropriate history-taking scheme, the opportunity to practice this under conditions of direct observation within strict time-limits, and detailed feedback about their performance.