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Dr. Rishi Desai from Osmosis shares three tips for taking an effective patient history. He emphasizes the importance of understanding the mechanics: starting with the chief complaint followed by the History of Present Illness (HPI), past medical history, medications, allergies, family and social history, and a review of systems. However, he focuses on the key competencies required for effective communication. His first tip is to listen well and empathize with the patient, as they seek a human connection rather than just answers to their symptoms. Desai underscores that building rapport and understanding the patient's experience is crucial to gathering a comprehensive and meaningful history.