Sexual

Explains task, assures confidentiality

 * Hello my name is [Medical Student] and I'm a first year medical student at [Medical School].
 * Can you please tell me you full name and age please?
 * Miss Doe, today my attending physician has asked me to take a history where I'll be asking you questions about your health.
 * Do I have your permission?
 * I just want to remind you that anything we discuss is confidential.
 * Is there anything I can get your before we begin?

Begins with open ended questions and transitions

 * What brings you in today?
 * To make sure I heard you correctly...*summarize*
 * Miss Doe, I'm going to be asking some questions about your sex life, is that okay?

Establishes if patient is or has ever been sexually active and asks about sexual orientation.

 * What is your relationship status?
 * Are you sexually active right now?
 * Tell me about your sexual preference, if it's men, women or both?
 * How is sex for you?

Establishes number of partners in last year and were they regular.

 * How many partners have you had in the past year?
 * Were they regular sex partners or one night stand?

Asks about type of sex engaged in (vaginal, oral, anal)

 * What kind of sex do you engage in?
 * Vaginal
 * Oral
 * Anal

Asks about protection from STD, establishes if it is always used

 * Do you use any protection while having sex?
 * Do you alway use protection while having sex?

Asks whether patient/partner was ever diagnosed/treated for an STD

 * Have you ever been diagnosed or treated for an STD?

Ask about symptoms of STDs: sores, discharge (urethral), itching, dysuria

 * Have you noticed any recent sores on your vagina?
 * Have you had any recent vaginal discharge?
 * Amount
 * Color
 * Smell
 * Have you had any recent vaginal itching?
 * Have you had any recent painful urination?

Demonstrates empathy, uses open ended questions with appropriate follow up questions

 * That's the end of the history, thank you coming in.
 * Do you have any questions?

Summary presentation and communication skills

 * We have an 18 year old white female that presented with pain urination. She's sexually active with 10 partners and has a history of gonorrhea. She states that she doesn't always use protection. The patient is also reports white vaginal discharge that has a fishy odor.