Patient centered interviewing

Question 1

purpose of medical interview

Answer 1

• gather information
• establish a safe atmosphere and trusting relationship with the patient
• provide patient education (inform and motivate the patient)

Question 2

Rationale for Improving Medical Interviewing

Answer 2

• patients seek care due to their experience, not symptoms
• patients have more than one concern
• being able to tell one’s story is diagnostically useful and therapeutic

Question 3

Open-ended questions: non-focusing

Answer 3

• silence
• non verbal encouragement (eye contact, hand gestures, leaning)
• continuers

Question 4

Open-ended questions: focusing

Answer 4

• echoing
• requesting “go on”
• summarizing

Question 5

Emotion seeking: Direct

Answer 5

How did that make you feel

Question 6

Emotion seeking: indirect

Answer 6

• inquiring about impact
• eliciting beliefs or attributions
• intuiting how the patient might be feeling
• asking about triggers

Question 7

impact on life, others

beliefs about the problem

intuit patient feelings

triggers

are examples of

Answer 7

Indirect

Question 8

setting the stage

Answer 8

30-60s

Question 9

elicit chief concern

Answer 9

1-2 m

Question 10

opening the history of present illness (HPI)

Answer 10

30-60s

Question 11

Learning patient experience of illness

Answer 11

3-10 mins

Question 12

transition to middle

Answer 12

30-60s

Question 13

History of presenting illness

Answer 13

more time

Question 14

Step 6 (PMH), Step 7 (SH), Step 8 (FH) and 10 (ROS + PE, Labs)

Answer 14

less time

Question 15

Step 11 - conclusion

Answer 15

time varies