1.3. Interview Basics Flashcards
What is the difference between the Patient-Centered and Physician Centered Model?
Patient Centered focuses on pt needs, not a disease or what physician needs to ask.
- Engaged patient in larger role
- Obtain a more thorough and accurate history vs not interrupting patient or jumping to conclusions
Why is effective communication essential in patient-provider relationships?
- More accurate and effective interviews
- Better clinical differential
- Increase patient satisfaction, understanding and recall
- Improve compliance and disease outcome
- Decrease medico legal complaints
- Actual savings in time
- More structure and control of difficult consultation
- Increase job satisfaction
What is included in the subjective component of SOAP note?
What you learn by taking history:
-CC, HPI (OLDCAAARTS), ROS, PMH, PSH, Meds, Allergies, FH, SH (FEDTACOSSS)
What is included in the objective component of SOAP note?
PE findings, including structural findings, lab and radiology data
What is included in the assessment component of SOAP note?
Differential and what you believe is going on
What is included in the plan component of SOAP note?
What you and the patient agree to do, along with including OMT performed. This is the MDM
Briefly discuss the 5-step approach to patient centered interviewing
Model to diagnose and treat using 5-model which simplifies 10 systems:
- Biomechanical model: MSK
- Resp-Circ Model: HEENT (NT part), Cardiac, Resp
- Neuro: HEENT (HEE part), neurology, Endo, Immune system
- Metabolic-Energy: GI and GU
- Behavioral: Psychsoc
What is the difference between the Old Medical Model and the Patient-Centered Model?
Medical vs Patient Centered
- Pt role is passive vs. active (they ask Qs)
- Pt is recipient of treatment vs. partner in plan
- Dr dominates convo vs Dr works w/ pt
- Care is disease centered vs quality of life centered
- Dr talks most vs dr talks less
- Pt may/may not adhere to plan vs pt more likely to adhere
How should patient education material be written?
6th grade level or lower, and including pictures/illustrations
What is empathy in relation to a physicians occupation?
Capacity to understand and relate to patients illness, experience and emotions through showing concern and interest, both verbally and through facial expression
-Name emotion, understand, respect, support, explore
What is empathy in relation to a physicians occupation?
Capacity to understand and relate to patients illness, experience and emotions through showing concern and interest, both verbally and through facial expression
-Name emotion, understand, respect, support, explore
What is the AUDIT test for alcohol use?
AUDIT: Alcohol Use Disorder ID Test
- Better sensitivity than CAGE
- More Qs for DR to remember, somewhat difficult to score
What is the CAGE questionnaire for alcohol use>
- Screen pt’s who drink more than 1 drink/day or drink a lot of weekend
- Anyone suggest you CUT back?
- are you ever ANNOYED when pple talk about your drinking?
- do you ever feel GUILTY about drinking?
- do you need a drink in morning to steady (EYE opener)
What does the NIAAA considered low risk for women and men over 65?
Women: no more than 3x/day or 7x/wk
Men: no more than 4x/day or 14x/wk
-Shows only 2% of people who drink within these limits have AUD.
What does FICA stand for in regards to spirituality and religion?
F: Faith and Belief
I: Importance
C: Community
A: Address in care or assessment plan
