CS I Block Exam Flashcards
List the 3 broad types of skills required to become an “Effective Communicator”
- Perceptual Skills; irritation with a patient’s personality
- Process Skills; can interfere with listening and we miss important cues
- Content Skills; so we do not provide accurate info.
What type of skill is involved during what is said or communicated?
Content Skill
- any info gathered or given
- the treatment that are discussed
Verbal facilitating skills
Non-verbal skills
Relationship building skills
And the organization and structure of the communication are all examples of what type of the 3 skills required to become an effective communicator?
Process Skills
i.e. nodding, smiling, listening and reflecting back what is heard, “tell me more”, “go on”, etc.
Clinical reasoning, problem-solving skills, attitudes, capacity for compassion, awareness of feelings and awareness of their own biases are examples of which of the 3 broad types of skills to become an effective communicator?
Perceptual Skills
Which model is based on content only?
- Calgary Cambridge Model
- Model Traditional Medical History
Model Traditional Medical History
Which model uses both process and content skills during the medical interview?
- Calgary Cambridge Model
- Model Traditional Medical History
Calgary Cambridge Model
List the 5 steps of the Calgary Cambridge Model of Consultation
- Initiating the Session
- Gathering Info
- Physical Examination
- Explanation and Planning
- Closing the Session
List the two tasks that are continuous during the medical interview of the Calgary Cambridge Model of Consultation
- Providing Structure
2. Building the Relationship
Background information is a content or context?
Context
List the 7 components of the health history
- Identifying data
- Chief complaint
- History of present illness
- Past medical history
- Family history
- Personal and social history
- Review of systems
List the components that are included in identifying information
- Age/DOB
- Gender
- Marital status
- Occupation
- Patient’s address (if necessary)
- Reliability
- Source of history; family, friend, referal letter, insurance companies, self, health care provider, etc.
- Source of referral
Which of the 2 models describes patients in terms of diseases (including psychiatric) and excludes most psychological and social aspects of the person?
- Calgary Cambridge Model
- Model Traditional Medical History
- Model traditional medical history
Which of the 2 models describes how each patient perceives, experiences and copes with their illness and weaves the patient’s perspective with the biomedical perspective?
- Disease-Illness Model
- Model Traditional Medical History
- Disease-Illness Model
The Disease-Illness Model contains a biomedical perspective and an illness framework (patient’s perspective), which perspective includes:
Symptoms, signs, investigations, underlying pathology, and differential diagnosis
Biomedical perspective
Multiple determinants in the development of disease and resulting illness, a hierarchical organization of biologic and social systems that contribute to disease and illness, and any change in one complex system will change other systems are apart of the Biopsychosocial Model or the Integrated Science Model?
Biopsychosocial
The 5 domains of biology, environment, socioculture, behavior, and cognitions are apart of the Biopsychosocial Model or the Integrated Science Model?
Integrated Science Model
The key to being an effective physician is having a patient adhere to your recommendations, what percentage of patients in a general practice comply with treatment recommendations at any one time?
a. 24%
b. 34%
c. 44%
d. 54%
e. 0%
d. 54%
Define the Paternalistic approach
Doctor-centered style; closed Qs, tends to use disease-centered model
“The Dr. did not take enough time with me to give the right treatment”
Physician assumes all power and patient loses the power and is not heard
Define the Consumeristic approach
The patient knows exactly what they want and forces the Dr. into a patient focus w/out weaving in the biomedical, doctor-centered approach.
“The doctor doesn’t know what I want.”
Patient chooses not to adhere to recommendations or to come back to that physician if the physician doesn’t do what the patient wants.
Patient adherence with medical advice is not related to which of the following?
a. some patient personality traits
b. how well the patient likes & respects the doctor
c. some patient defense mechanisms
d. patient’s education and marital status
e. the patient-centered approach taken by the doctor
d. patient’s education and marital status
List the steps for initiating the session
- Session Preparation
- Establishing the initial rapport; greet patient, introduce self, clarify role & nature of interview, consent, patient’s name, patient’s physical comfort, respect & interest
- Identifying the reason(s) for the consultation/interview
- Negotiating the agenda; priorities are est., doctors agenda can be added
List the components of establishing an initial rapport during the patient interview
- Greet the patient
- Introduce self
- Clarify role and nature of interview and obtain consent
- Obtain patient’s name
- Attend to patient’s physical comfort
- Demonstrate respect and interest