PLAB 2 history-taking stations: a complete guide
History-taking stations are the backbone of PLAB 2, and the skills they test appear in many other stations too. The examiner is watching how you gather information safely and efficiently — the Data Gathering domain — while still consulting like a human being. A reliable structure is what lets you do both within ten minutes.
A structure you can use in any history station
- Open well: introduce yourself, confirm who you are speaking to, and start with an open question.
- Explore the presenting complaint fully before narrowing down.
- Screen for red flags relevant to the presentation.
- Cover the relevant background: past history, drugs and allergies, family and social history.
- Explore ideas, concerns and expectations.
- Summarise back to the patient to check you have understood.
Start broad, then focus
The commonest mistake is diving into closed questions too soon. Give the patient space to tell their story first; you gather more, and faster, than by firing questions. Then focus in on the details that change your differential.
Always screen for red flags
Every presentation has its own danger signs, and actively excluding them is what makes your history safe. If you are unsure what the red flags are for a given complaint, the NHS health information and NICE CKS are good reference points while you revise.
Close by summarising
A brief summary back to the patient does three things at once: it checks accuracy, it shows the examiner your reasoning, and it reassures the patient they have been heard. It is a small habit with a big payoff across the Data Gathering and Interpersonal domains.
The only way to make this structure automatic is to run it repeatedly against the clock. ZWIP’s history-taking stations let you practise with varied AI patients and presentations, with feedback on exactly where your data gathering was strong or thin.
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