"The First Minute" Flashcards
5 benefits of a sound doctor-patient relationship
increase patient satisfaction achieve better outcomes better concordance decrease litigation enhance job performance indicators
5 top reasons patients do not return to a practice
physician failed to address concerns lack of explanations change of insurance office/staff issues inconvenience go location/hours
mean time before physician interrupts pt
18 seconds
what is meant by “interrupting” patient?
taking control of the interview with increasingly closed-ended questions and stopping pt from telling their story
what is a possible consequence of early interruption?
missed agenda
what 2 physician behaviors resulted in better functional status of patients?
better communication
less doctor-controlling behavior
what percentage of pts do not comply with medical advice?
between 20-80%
what 2 things reduce the risk of litigation more than anything else?
meticulous documentation
good interpersonal skills
3 things that a good relationship can result in
improved care and compliance
enhanced satisfaction
preventing litigation
5 tasks for the medical encounter
establish or foster relationship with patient elicit information arrive at ddx and plan inform and counsel pt record the information
example of “facilitation” in interviewing
tell me more, go on
example of “surveying” in interviewing
what else is bothering you?
what else would you like to discuss today?
3 uses of nonverbal communication
convey information
facilitate communication
clarify meaning
7 types of non-verbal communication
posture proxiemics facial expression eye contact touching gestures paralanguage
what is proximetrics?
closeness
distain- increase distance
comfort or manipulation- decrease distance
what is kinesics?
gestures, expressions and postures
what is paralanguage?
variations in tone, pitch, volume, articulation
what does lower pitch intonation suggest?
controlling emotions
what do prolonged pauses suggest?
weighing an answer or constructing a lie
5 ways to demonstrate respect
introduce self/explain role handshake/touch convey positive regard for pt advise on what to expect indicate that you hear pt
describe objectivity
striving to remove your own beliefs, prejudices and preconceptions (compromised by premature interruption)
3 therapeutic core qualities
respect
genuineness
empathy
4 levels of responding
ignoring
minimizing
interchangeable- same level as pt
additive- greater level than pt
