THE MEDICAL INTERVIEW Mastering Skills for Clinical Practice

Author: John Coulehan, MD, MPH, FACP, Marian Block, MD, ABFP
Affiliation: State University of New York, Stony Brook, NY
Publisher: F.A. Davis Company
Publication Date: 2006
ISBN 10: 080361246X
ISBN 13: 9780803612464
Edition: 5th

Description:

This new edition of The Medical Interview: Mastering Skills for Clinical Practice, 5th Edition, will help your students learn the art of conducting a medical interview and in the process hone their communication skills. In addition, the authors have created a downloadable interview organizer that students can use as a management tool for their first interviews. The book is appropriate for medical students and all levels of residents and is truly a must-read for anyone conducting a clinician-patient interview.

Table of Contents

Front Matter

  • ABOUT
  • DEDICATION
  • ACKNOWLEDGEMENTS
  • FOREWORD
  • Introduction

PART ONE THE PATIENT’S STORY

    Interviewing as a Clinical Skill

    • OBSERVATION IN CLINICAL MEDICINE
    • INTERPRETATION VERSUS OBSERVATION
    • PRECISION
    • SENSITIVITY AND SPECIFICITY
    • RELIABILITY
    • SCIENCE AND ART AT WORK: ACTIVE LISTENING
    • SAGA OF THE FIFTH WHEEL
    • SUMMARY—Interviewing as a Clinical Skill

    Respect, Genuineness, and Empathy

    • CONNECTING WITH THE PATIENT
    • RESPECT
    • GENUINENESS
    • EMPATHY
    • LEVELS OF RESPONDING
    • USING WORDS PRECISELY
    • NONVERBAL COMMUNICATION
    • SUMMARY—Respect, Genuineness, Empathy

    Chief Complaint and Present Illness

    • BEGINNING THE COMPLETE MEDICAL HISTORY
    • INTERVIEW SETTING
    • OPENING THE INTERVIEW
    • CHIEF COMPLAINT
    • PRESENT ILLNESS
    • BEGINNING THE INTERVIEW: THREE EXAMPLES
    • CHALLENGES TO ELICITING THE CHIEF COMPLAINT AND PRESENT ILLNESS
    • SUMMARY—Chief Complaint and Present Illness

    Other Active Problems, Past Medical History, and Family History

    • CONTINUING WITH THE INTERVIEW
    • OTHER ACTIVE PROBLEMS
    • ELICITING THE PAST MEDICAL HISTORY
    • FAMILY HISTORY
    • SUMMARY—Other Active Problems, Past Medical History, and Family History

    The Patient Profile

    • UNDERSTANDING THE PATIENT PROFILE
    • EXPLORING THE TYPICAL PATIENT PROFILE
    • THE PATIENT PROFILE IN PRACTICE
    • SUMMARY—The Patient Profile

    The Sexual History

    • UNDERSTANDING THE SEXUAL HISTORY
    • INITIAL SCREENING
    • EXPANDING ON THE SEXUAL HISTORY
    • SEXUAL ORIENTATION IN THE INTERVIEW
    • SUMMARY—The Sexual History

    Review of Systems, Physical Examination, and Closure

    • REVIEW OF SYSTEMS IN CONTEXT
    • TECHNIQUES TO SUPPORT THE ROS
    • RESPONDING TO THE POSITIVE ROS
    • TRANSITIONING TO THE PHYSICAL EXAMINATION
    • CONVERSATION DURING THE PHYSICAL EXAMINATION
    • ENDING THE INTERVIEW
    • SUMMARY—ROS, Physical Examination, and Closure

    The Clinical Narrative

    • CREATING THE NARRATIVE
    • TURNING THE HISTORY INTO THE WRITE-UP: THE CLINICAL NARRATIVE
    • FUNCTIONS OF THE CLINICAL RECORD
    • FORMAT OF THE CLINICAL RECORD
    • IDENTIFYING DATA AND CHIEF COMPLAINT
    • PHYSICAL EXAMINATION
    • PRESENTING THE PATIENT
    • COMMUNICATION AMONG PROFESSIONALS
    • SUMMARY—The Clinical Narrative

PART TWO BASIC SKILLS IN PRACTICE

    Communication in the Office Setting

    • UNDERSTANDING THE INTERVIEW IN THE OFFICE SETTING
    • GAINING EFFICIENCY AND FOCUS
    • CHALLENGES TO COMMUNICATION IN OFFICE PRACTICE
    • COMMUNICATING ABOUT PREVENTION AND HEALTH PROMOTION
    • TRUTHFULNESS AND CONFIDENTIALITY IN AMBULATORY CARE
    • SUMMARY—Communication in the Office Setting

    Pediatric and Adolescent Interviewing

    • UNDERSTANDING THE PEDIATRIC AND ADOLESCENT INTERVIEW
    • CHILDREN VERSUS ADULTS: SIMILARITIES AND DIFFERENCES
    • SETTING THE STAGE FOR EFFECTIVE COMMUNICATION
    • TALKING WITH PATIENTS OF DIFFERENT AGES
    • SUMMARY—Pediatric and Adolescent Interviewing

    Interviewing the Geriatric Patient

    • WHO IS THE GERIATRIC PATIENT?
    • THE STYLE OF THE INTERVIEW
    • THE CONTENT OF THE INTERVIEW
    • MENTAL STATUS ASSESSMENT
    • THE THIRD PARTY
    • Summary—Interviewing the Geriatric Patient

    Cultural Competence in the Interview

    • EXPLORING CULTURAL COMPETENCE
    • CULTURE, VALUES, AND SELF-AWARENESS
    • HEALTH BELIEFS IN THE INTERVIEW
    • SUMMARY—Cultural Competence in the Interview

PART THREE CHALLENGES IN THE INTERACTIVE PROCESS

    Difficult Patient-Clinician Interactions

    • EXPLORING DIFFICULT INTERVIEWS
    • INTERACTIVE STYLES
    • SOMATIZATION
    • DIFFICULT FEELINGS IN THE MEDICAL INTERVIEW
    • THE CLINICIAN’S FEELINGS
    • SUMMARY—Difficult Patient-Clinician Interactions

    Telling Bad News

    • RESPECT FOR PATIENTS’ AUTONOMY
    • BARRIERS TO COMMUNICATING BAD NEWS
    • EMPATHY AND INTERACTION IN TELLING BAD NEWS
    • INTERVIEWING IN PALLIATIVE CARE
    • INTERVIEWING AND ADVANCE DIRECTIVES
    • CULTURAL CONSIDERATIONS
    • SUMMARY—Telling Bad News

    Talking with Patients about Complementary and Alternative Medicine

    • INTEGRATING COMPLEMENTARY AND ALTERNATIVE MEDICINE
    • CONSIDER THE CONTEXT
    • DEFINITION AND DESCRIPTION
    • WHO USES CAM?
    • LEARNING ABOUT CAM IN THE CLINICAL INTERVIEW
    • INTEGRATIVE PRACTICE
    • SUMMARY—Talking with Patients about Complementary and Alternative Medicine

    Ethics and the Law

    • UNDERSTANDING AUTONOMY AND BENEFICENCE
    • PATIENT RIGHTS
    • INFORMED CONSENT
    • INFORMED CONSENT REQUIRES CONVERSATION
    • HOW MUCH INFORMATION IS ENOUGH?
    • BARRIERS TO INFORMED CONSENT
    • DECISION-MAKING CAPACITY
    • STANDARDS FOR JUDGING CAPACITY
    • CONFIDENTIALITY
    • TRUTHFULNESS
    • SUMMARY—Ethics and the Law

    Malpractice and the Clinical Interview

    • GOOD COMMUNICATION IS THE BEST DEFENSIVE MEDICINE
    • EARNING TRUST THROUGH MASTERY OF BASIC SKILLS
    • BUILDING BLOCKS OF A NEGLIGENCE- FREE RELATIONSHIP
    • TRANSPARENCY IN EVERYDAY CLINICAL INTERACTIONS
    • COMMUNICATION WITHIN THE HEALTH CARE TEAM
    • KEEPING GOOD RECORDS: DOCUMENTATION, DOCUMENTATION, DOCUMENTATION
    • SUMMARY—Malpractice and the Clinical Interview

    Education and Negotiation

    • INFLUENCING PATIENTS
    • EDUCATION
    • NEGOTIATION
    • SUMMARY—Education and Negotiation

    The Medical Interview at Work

    • PUTTING YOUR SKILLS INTO PRACTICE
    • TRANSCRIPT

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