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The principles of symptom control.

The core medical skills of history taking, examination and investigation form the heart of every patient encounter. Undergraduate and postgraduate curricula have this process as the bedrock of medical training. The core competencies outlined in the generic postgraduate training curriculum (Federation of the Royal Colleges of Physicians, 2006a) have good clinical care with good history taking and examination as the first area of expertise. Thus doctors are taught and trained, quite rightly, to diagnose the underlying pathology.