Special Issues in Medical History Taking Flashcards
What is evidence based medicine?
Integrating individual clinical expertise with the best available external clinical evidence from systematic research.
“Applying bench to bedside.”
How should one communicate medical evidence?
Similar to all best practices for medical history taking:
- Patient centered
- Pointed
- Normal language.
Understand the patient’s expereinces and expectations.
Build partnerships to increase trust.
Provide evidence, including uncertainties.
Present recommendations.
Check for understanding and agreement.
What are the important notes in discussing Evidence Based Mdicine and Contemporary Trends?
Clinicians don’t have all the answers.
Don’t be afraid to allow a patient educate you.
Verify information (use iphone, use computer in front of patient).
Discuss limitations of knowledge and experience if necessary.
Share collaborative decision making (ask questions, point potential issues out such as cost and side effects).
