2: Interview Basics

Question 1

Recite the opening remarks to a patient script

Answer 1

Hi! My name is student doctor Wiser.

I am working with your doctor today as part of your healthcare team.

I am here to collect some information on why you are here, perform an examination, and then report that information back to your doctor. Is that okay with you?

Before we begin, may I confirm your first and last name and DOB? How old does that make you? Thank you.

How would you like to be addressed?

What brings you in today?

Question 2

Five steps in an interview

Answer 2

1. Set the stage: welcoming patient and establishing comfort
2. Elicit pt’s agenda, CC, and priorities
3. Discuss pt concerns with open-ended questions
4. Elicit details using direct questions
5. Empathize and summarize

Question 3

What level should pt educational material be printed in?

Answer 3

6th grade level

Question 4

NURSE acronym for expressing empathy

Answer 4

Name: ID the underlying emotion
Understand: confirm that you understand by active listening
Respect: show that their reaction is important to you
Support: give a variety of resources
Explore: target questions to specifics of what a person shows interest in

Question 5

SOAP Note stands for?

Answer 5

S: Subjective
O: Objective
A: Assessment
P: Plan

Question 6

Nine parts of a subjective SOAP note

Answer 6

1. CC
2. HPI
3. ROS
4. PMH
5. PSH
6. Meds
7. ALL
8. FH
9. SH

Question 7

Objective part of SOAP note

Answer 7

Physical exam findings, labs, and imaging

Question 8

Assessment part of SOAP note

Answer 8

What you think is going on with the patient; not always a diagnosis

Question 9

Plan part of SOAP note

Answer 9

What you will do for the patient’s problem, including txs and OMT

Question 10

Mnemonic for the HPI

Answer 10

OLDCAAARTS
Onset
Location
Duration
Character
Alleviating factors
Aggravating factors
Associated symptoms
Radiation
Timing
Severity

Question 11

Three required questions for Meds + three things you must record about them

Answer 11

Ask about….

1. Rx’s
2. OTCs
3. Supplements

Must record…

1. Dose
2. Timing
3. Why the pt takes it

Question 12

Three things required to ask about allergies + one thing you must record

Answer 12

Ask about…

1. Medication allergies
2. Environmental
3. Food allergies

Must record…
1. Reaction

Question 13

Mnemonic for Social History

Answer 13

FEDTACOSSSS
Food
Exercise
Drugs
Tobacco
Alcohol
Caffeine
Occupation
Spirituality
Support
Safety
Sexual relationships

Question 14

What is mandatory to ask for the Social History portion of Subjective SOAP note

Answer 14

Drugs, tobacco, alcohol + 2 additional sections

Question 15

CDC exercise recommendations for adults and children

Answer 15

Adults: 150mins per week
Children: 60mins per day

Question 16

Three questions to ask about drugs

Answer 16

1. Quantity
2. Frequency
3. Route of administration

Question 17

Two questions to ask about tobacco use

Answer 17

1. Quantity

2. Duration

Question 18

Two important screenings related to tobacco use

Answer 18

1. AAA screening

2. Lung cancer screening

Question 19

AAA screening

Answer 19

Recommended 1x screen for AAA in men 65-75 who have ever smoked

Question 20

Lung cancer screening

Answer 20

Recommended low-dose CT for those 55-80 who have a 30 pack-year history and currently smoke or quit within the last 15 years

Question 21

Pack years of smoking

Answer 21

Ppd x years = packyears

Question 22

When do you use ppd vs packyears for tobacco use?

Answer 22

Current smoker: ppd for x years

If pt quit smoking: packyears

Question 23

Two things to ask about alcohol use

Answer 23

1. Quantity

2. Frequency

Question 24

CAGE questionnaire

Answer 24

Screens pts who drink 1+ drink daily or lots on weekends -> can open door to convos about getting help

Question 25

CAGE questionnaire questions

Answer 25

A. Has anyone suggested you Cut back?
B. Have you been Annoyed when people talk about your drinking?
C. Do you ever feel Guilty about drinking?
D. Do you ever need a drink in the morning to steady your nerves (an Eye opener)?

Question 26

NIAAA Safe Drinking Limits for men and women

Answer 26

Women/pts over 65: 3 drinks in a day; no more than 7 drinks a week
Men: 4 drinks a day; no more than 14 drinks a week

Question 27

Three questions to ask about caffeine intake

Answer 27

1. Quantity
2. Frequency
3. What form

Question 28

FICA mnemonic for asking about spirituality

Answer 28

F: faith and belief: do you consider yourself spiritual or religious?
I: importance: what importance does spirituality have in your life?
C: community: are you part of a spiritual community?
A: address in care: how would you like your healthcare team to address these aspects in your healthcare?

Question 29

SAFE mnemonic for domestic violence

Answer 29

S: stress/safety
A: afraid/abused
F: friends/family
E: emergency plan

Question 30

ROS vs associated symptoms

Answer 30

Associated symptoms: have to do with CC directly

ROS: can be anything in any other system; related or unrelated to CC