FPC: The Medical Interview
why are medical interviews important? (3) - ANS--it directs everything else you do (labs,
scans, etc.)
-85% of diagnosis comes from it
- forms trust with the patient (counseling)
what are the differences between MD centered, patient centered, and relationship
centered interview styles? - ANS-MD: often ignores important personal data necessary
to establish trust and understand illness (** not good- tries to get quick straight details-
no empathey)
Ex. Jahovah witness- need to know personal side
Patient centered- focused on understanding the patient story
relationship centered- combines expertise, values and needs of patient with clinician
*** only takes an extra 2 minutes
What is the main characteristics of attentiveness & Warmth? - ANS--let them know you
are here in the moment with them - good posture, eye contact, Nods, tone (verbal &
nonverbal)
What is the main characteristics of respect? - ANS-- value the patients traits and belief
despite personal feelings
What is the main characteristics of genuiness? - ANS-- honest emotional
responsiveness is intertwined with empathy (know your limits- Im not an oncologist but I
can get you in contact one)
*** Dont share personal stuff
What is the main characteristics of Empathy? - ANS-- put yourself in the patients shoes
***Experiences & feelings
*** verbal & nonverbal: Sympathetic look & attentive silence
What is the main characteristics of Reflections? (reflection vs Interchangeable
response) - ANS--reflection: "You look sad"
- Interchangeable response: restatement in your own words... lets the patient know you
heard them
, What is the main characteristics of legitimation? - ANS-- Validation: " I can certainly
understand how you would feel frustrated."
*** does not mean you agree to the reason for the emotion just that you understand
what are the elements of active learning? (5) - ANS-1. Aids in rapport- more info, trust
2. let the patient tell the story (don't lead them on)
3. Listening on multiple levels
4. Objectivity - remove personal beliefs/prejudices
5. Do not maximize or minimize (patient feels ignored)
what is anchoring bias? - ANS-- by only listening to what some of the patient says you
jump to premature interpretation and diagnosis
*** listen so they tell you everything
what are the key characteristics of an encourager? - ANS-- positive body language
what is the difference between open-ended and close-ended questions? -
ANS-open-ended: free responses that gather the most info. The patient tells the story
and you listen
closed-ended: require one-word, numerical, or specific answers
what are the three types of open ended questions? - ANS-1. "what" brings you in today?
2. How"
3. "why"
what are the three types of close ended questions? - ANS-1. "Did" or "Do"
2. "Can"
3. "This" or "That"
what is a laundry list? - ANS--used when the patient can't articulate
** is the pain sharp, dull stabbing, etc.
what is the importance of clarification? - ANS-- some words are culturally specific
what is verbal dominance and why is it a problem? - ANS-- Medical jargon that is hard
to understand for all patients (even ones in the medical field)
*** separate talking with patients vs charting language
why are medical interviews important? (3) - ANS--it directs everything else you do (labs,
scans, etc.)
-85% of diagnosis comes from it
- forms trust with the patient (counseling)
what are the differences between MD centered, patient centered, and relationship
centered interview styles? - ANS-MD: often ignores important personal data necessary
to establish trust and understand illness (** not good- tries to get quick straight details-
no empathey)
Ex. Jahovah witness- need to know personal side
Patient centered- focused on understanding the patient story
relationship centered- combines expertise, values and needs of patient with clinician
*** only takes an extra 2 minutes
What is the main characteristics of attentiveness & Warmth? - ANS--let them know you
are here in the moment with them - good posture, eye contact, Nods, tone (verbal &
nonverbal)
What is the main characteristics of respect? - ANS-- value the patients traits and belief
despite personal feelings
What is the main characteristics of genuiness? - ANS-- honest emotional
responsiveness is intertwined with empathy (know your limits- Im not an oncologist but I
can get you in contact one)
*** Dont share personal stuff
What is the main characteristics of Empathy? - ANS-- put yourself in the patients shoes
***Experiences & feelings
*** verbal & nonverbal: Sympathetic look & attentive silence
What is the main characteristics of Reflections? (reflection vs Interchangeable
response) - ANS--reflection: "You look sad"
- Interchangeable response: restatement in your own words... lets the patient know you
heard them
, What is the main characteristics of legitimation? - ANS-- Validation: " I can certainly
understand how you would feel frustrated."
*** does not mean you agree to the reason for the emotion just that you understand
what are the elements of active learning? (5) - ANS-1. Aids in rapport- more info, trust
2. let the patient tell the story (don't lead them on)
3. Listening on multiple levels
4. Objectivity - remove personal beliefs/prejudices
5. Do not maximize or minimize (patient feels ignored)
what is anchoring bias? - ANS-- by only listening to what some of the patient says you
jump to premature interpretation and diagnosis
*** listen so they tell you everything
what are the key characteristics of an encourager? - ANS-- positive body language
what is the difference between open-ended and close-ended questions? -
ANS-open-ended: free responses that gather the most info. The patient tells the story
and you listen
closed-ended: require one-word, numerical, or specific answers
what are the three types of open ended questions? - ANS-1. "what" brings you in today?
2. How"
3. "why"
what are the three types of close ended questions? - ANS-1. "Did" or "Do"
2. "Can"
3. "This" or "That"
what is a laundry list? - ANS--used when the patient can't articulate
** is the pain sharp, dull stabbing, etc.
what is the importance of clarification? - ANS-- some words are culturally specific
what is verbal dominance and why is it a problem? - ANS-- Medical jargon that is hard
to understand for all patients (even ones in the medical field)
*** separate talking with patients vs charting language
