CiNii 図書 - The medical interview : mastering skills for clinical practice

This text addresses the practical and tacit issues involved in the medical interview as the critical tool for the establishment and continution of a clinician-patient relationship. It contains real-life examples of interviews; explains how to reduce malpractice suits through effective communication; provides guidelines on how to talk to patients about complementary and alternative therapies; discusses cultural and ethnic diversity isues and English as a second language; and discusses the communication skills needed with patients with alternative sexual orientations. A pocket card summarizes the main points to remember in conducting a medical interview.

Introduction - the poor historian. Part 1 Basic skills - understanding the patient's story: I attach the same meaning - interviewing as a clinical skill
with simple, kindly words - respect, genuineness, empathy
why should you come to consult me? - the chief complaint and present illness
transforming experience into memory - other active problems, past medical history and family history
gaining richness and reality - the patient profile
no air of finished knowledge - review of systems, physical examination and closure
I shall emumerate them to you - the clinical narrative. Part 2 Basic skills in practise - special patients and settings: headed in the right direction - paediatric and adolescent interviewing
a different silhouette - interviewing the geriatric patient
for the moment at least I actually became them - cultural competence in the interview
the real satisfaction - communication with the patient in the office setting. Part 3 Challenges in interviewing: seal up the mouth of outrage - difficult clinician-patient interactions
something new and dreadful - telling bad news
a great many remedies - talking with patients about complementary and alternative medicine
the sum of all the general rage - malpractice and the clinical interview
not through argument but by contagion - education and negotiation
the hunt is on - the medical interview at work.

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The medical interview : mastering skills for clinical practice

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