Interview Basics I and II Flashcards
Encounter Types
a. Well Patient or complete physical
b. Chronic Disease Management
c. Problem focused
Law of Personal Space
- 1.5 feet: intimate
- 4 feet: personal
- 10 feet: social
Active Listening Skills
- smile
- eye contact
- posture
- mirroring
- minimize distraction
How much money is wasted annually as a result of communication inefficiencies?
12 billion dollars
What percentage of accidental deaths and serious injuries in hospitals is linked to communication failures?
70%
What percentage of patients walk away from meeting with their physician unsure of what they’re suppose to do?
50%
S in SOAP note
- Subjective: what you learn by taking the patient’s history
- CC, HPI, ROS, PMH, PSH, Meds, ALL, FH, SH
O in SOAP note
-Objective: physical exam findings including structural findings, laboratory, and radiology data
A in SOAP note
Assessment: what you think is going on with the patient
-not always a diagnosis
P in SOAP note
Plan: what you and the patient agree to do about the problem, including OMT performed
Chief Complaint
- CC
- This is the patient’s main reason for visiting the doctor “in their own words”.
History of Present Illness
- HPI
- This is the patient’s story about what they have been feeling, why they are seeing you
- OLDCAAARTS
OLD CARTS
- Onset (when started, what doing when it started, ever happen before?)
- Location
- Duration
- Character
- Alleviating factors / Aggravating factors / Associated symptoms
- Radiation
- Timing
- Severity
Medical model
Patients role is passive Patient is the recipient of treatment Physician dominated the conversation Care is disease centered Physician does most of the talking Patient may or may not adhere to treatment plan
Patient centered model
Patients role is active
Patient is a partner in the treatment plan
Physician collaborates with the patient
Care is quality of life centered
Physician listens more and talks less
Patient is more likely to where to treatment plan
