"The First Minute" Flashcards

1
Q

5 benefits of a sound doctor-patient relationship

A
increase patient satisfaction
achieve better outcomes
better concordance
decrease litigation
enhance job performance indicators
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2
Q

5 top reasons patients do not return to a practice

A
physician failed to address concerns
lack of explanations 
change of insurance
office/staff issues
inconvenience go location/hours
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3
Q

mean time before physician interrupts pt

A

18 seconds

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4
Q

what is meant by “interrupting” patient?

A

taking control of the interview with increasingly closed-ended questions and stopping pt from telling their story

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5
Q

what is a possible consequence of early interruption?

A

missed agenda

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6
Q

what 2 physician behaviors resulted in better functional status of patients?

A

better communication

less doctor-controlling behavior

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7
Q

what percentage of pts do not comply with medical advice?

A

between 20-80%

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8
Q

what 2 things reduce the risk of litigation more than anything else?

A

meticulous documentation

good interpersonal skills

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9
Q

3 things that a good relationship can result in

A

improved care and compliance
enhanced satisfaction
preventing litigation

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10
Q

5 tasks for the medical encounter

A
establish or foster relationship with patient 
elicit information
arrive at ddx and plan
inform and counsel pt
record the information
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11
Q

example of “facilitation” in interviewing

A

tell me more, go on

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12
Q

example of “surveying” in interviewing

A

what else is bothering you?

what else would you like to discuss today?

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13
Q

3 uses of nonverbal communication

A

convey information
facilitate communication
clarify meaning

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14
Q

7 types of non-verbal communication

A
posture
proxiemics
facial expression
eye contact
touching
gestures
paralanguage
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15
Q

what is proximetrics?

A

closeness
distain- increase distance
comfort or manipulation- decrease distance

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16
Q

what is kinesics?

A

gestures, expressions and postures

17
Q

what is paralanguage?

A

variations in tone, pitch, volume, articulation

18
Q

what does lower pitch intonation suggest?

A

controlling emotions

19
Q

what do prolonged pauses suggest?

A

weighing an answer or constructing a lie

20
Q

5 ways to demonstrate respect

A
introduce self/explain role
handshake/touch
convey positive regard for pt 
advise on what to expect
indicate that you hear pt
21
Q

describe objectivity

A

striving to remove your own beliefs, prejudices and preconceptions (compromised by premature interruption)

22
Q

3 therapeutic core qualities

A

respect
genuineness
empathy

23
Q

4 levels of responding

A

ignoring
minimizing
interchangeable- same level as pt
additive- greater level than pt