Medical Interview Flashcards
Describe the functions of the medical interview
- Gathering data to understand the patient
- Development of rapport and responding to the patient’s emotions
- Patient education and behavioral management
Specifics of function 1 - gathering data to understand the patient
Find chief complaint
Specifics to function 2 - development of rapport and responding to the patient’s emotions
forming relationship; find out paitient’s chief concern; empathize w/ patient’s primary emotion; 4:1 patient:provider talk ratios
specifics to function 3 - patient education and behavioral management
make sure pt can understand what you’re going to do and ask if they have questions
Identify aspects of communication that affect the medical interview process
use language that is understandable; us interpreter if needed;
3 qualitites: genuineness, respect, empathy
How to elicit the problem
allow pt to tell story (they drive the bus we keep it on the road)
open ended questions are good for?
beginning of interview; useful for getting new info at any point during interview
Direct questions are useful when?
when attempting to get specific details; close ended questions
What types of questions should be avoided in a medical interview?
leading questions
graded response questions are good for what?
a standardization of quantifying symptoms
skills used to gather data accurately and efficiently in enhancing patient responses
Facilitate: encourage Reflect: repeat what you heard Clarify: "What do you mean?" Empathize: underanding and acceptance Confront: address behavior Interpret: repeat to confirm Summarize: builds rapport
Identify non verbal cues that can affect the interview
SOFTEN S: smile O: open F: forward T: touch E: eye contact N: nod
Recall the difference between patient-centered and clinician-centered interviewing techniques
review this
