Interview Basics 1-2 Flashcards
How do we communicate?
Oral, written and non-verbal communication
What are the three components of non-verbal communication?
Personal presentation, body language and audience awareness
How should you introduce yourself to the patient?
Hello my name is Student Dr. Karisik. 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 & last name as well as your date of birth? How does that make you? Thank you.
What brings you in today or How may I help you today?
Should you sit or stand when youre with your pt?
Sit because the pt will perceive your time together to be longer than it actually is
Pt centered interviewing
Centers on the pt’s needs opposed to the disease or physician
Engages the pt to play a larger role
Obtain more thorough and accurate history
Better pt-physician rapport
Physician centered interviewing
Traditional way of interviewing focused on history taking
Laundry list of items to ask
Items pertaining to organ systems
May lose important info and change the hairstyle
What is the recommended sequence for Pt centered interviewing?
Introduce yourself and build rapport Elicit the pt’s agenda List all of the pt’s agenda items Negotiate the agenda Start discussing the pt’s concerns with open ended questions Ask direct questions to elicit details about the chief concern and perform a ROS Elicit the pt perspective Empathize Summarize Transition Additional data
What are some active listening skills?
Smile, eye contact, posture, mirroring and minimizing distraction
When communicated something with the pt you should avoid using
Medical jargon and consider the educational, cultural and developmental level of the pt. Pt education material should be written at a 6th grade or lower reading level.
Acronym for expressing empathy
Name Understand Respect Support Explore
SOAP
Subjective - what you learn by taking the pt history
Objective - PE findings including structural findings, lab and radiology data
Assessment - what you think is going on with the pt
Plan - what you and the pt agree to do about the problem including OMT performed
What information is considered subjective in the SOAP note?
CC, HPI, ROS, PMH, PSH, meds, allergies, FH and SH
What information is considered objective in the SOAP note?
PE findings (full vs focused), lab and radiology data
Assessment
Basic description of the problem
Not always a diagnosis
Differential diagnosis
Probable causes of the assessment listed in order of most to least likely
