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| The medical interview, the major medium of ___, is of central importance to practitioners. A successful interview elicits accurate and complete data. |
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| The medical interview represents a dialogue that determines whether the patient agrees to take a medication, ___, or change a diet. |
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| More than ___ of diagnoses are derived from the interview. |
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| The doctor–patient interaction is the keystone of patient satisfaction; moreover, interview-related factors impact major outcomes of care, including physiologic responses, ___, pain control, functional status, propensity to sue in the event of an adverse outcome, and emotional health. |
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| difficult or stigmatized information |
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Definition
| The medical interview also influences the quality of care, including malpractice suits and their resolution, the amount of patient disclosure of ___, time efficiency, and the elimination of "doorknob" questions as the interview ends. |
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| The ___ is also key to a practitioner's sense of professional well-being, as it is the factor that most influences satisfaction with each patient encounter. |
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| The average length of time per ambulatory patient visit for internists, family practitioners, and pediatricians is about ___, and these groups account for 75% of doctor visits. |
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| The average visit time for all physicians is ___, a rate curiously constant in the United States, the United Kingdom, The Netherlands, and elsewhere. |
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| Each interview can be the source of satisfaction or frustration, of learning or apathy, of efficiency or wasted effort (Table 1-1), of personal growth and inspiration or ___ discouragement. |
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| Have you ever tried to Cut down on your drinking? |
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Definition
The CAGE Questionnaire.
C: ___ |
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| Do you feel Annoyed when asked about your drinking? |
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The CAGE Questionnaire.
A: ___ |
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| Do you feel Guilty about your drinking? |
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Definition
The CAGE Questionnaire.
G: ___ |
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| Do you ever take an Eye opener in the morning? |
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Definition
The CAGE Questionnaire.
E: ___ |
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| A highly specific, sensitive, and efficient screening test for alcoholism: ___ |
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| Because open-ended questions allow the patient to frame the response, the ___ reveals how the patient is processing the issue under discussion information is rarely available from closed-ended questions. |
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| A physician who is thinking of the next question rather than listening to what is being said loses the ability to attend and ___. |
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| If the same format is used for each interview, the variations in responses can be attributed to ___, thereby providing significant insight. |
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| corporatization of health care |
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Definition
| A number of factors enhance interview efficiency, a growing concern, as the ___ leads doctors and patients to experience care as more rushed. |
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| A number of factors enhance interview efficiency, a growing concern, as the corporatization of health care leads doctors and patients to experience care as more ___. |
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| These trends will undoubtedly prove counterproductive: when the medical visit is jammed with too much to do, ___ discussion suffers. |
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| Specific techniques enhance the medical interview's cost-effectiveness and efficiency. ___ allow patients to elaborate on responses, provide additional information, and make interviews shorter. |
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| "___" involves listening to what is said on multiple levels—how it is said, what is included and what is left out, how what is said reflects the person's culture, personality, mental status, affect, conscious and unconscious motivation, cognitive style, and so on. |
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| "Active listening" involves listening to what is said on multiple levels—how it is said, what is included and what is left out, how what is said reflects the person's ___, personality, mental status, affect, conscious and unconscious motivation, cognitive style, and so on. |
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| "Active listening" involves listening to what is said on multiple levels—how it is said, what is included and what is left out, how what is said reflects the person's culture, ___, mental status, affect, conscious and unconscious motivation, cognitive style, and so on. |
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Definition
| "Active listening" involves listening to what is said on multiple levels—how it is said, what is included and what is left out, how what is said reflects the person's culture, personality, ___, affect, conscious and unconscious motivation, cognitive style, and so on. |
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Term
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Definition
| "Active listening" involves listening to what is said on multiple levels—how it is said, what is included and what is left out, how what is said reflects the person's culture, personality, mental status, ___, conscious and unconscious motivation, cognitive style, and so on. |
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| repeating the essence of the information shared |
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Definition
| Acknowledging or ___, whether clinical or emotional, allows the patient to feel understood and provides an opportunity to correct misperceptions. |
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| After the history-taking and physical examination have been completed, it is time for the physician and patient to discuss what the problems appear to be ... This should be done in language free of jargon and at a ___ the patient can understand. |
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| While telling someone she has diabetes may seem routine to a ___ practitioner, to a patient who has heard tough stories about diabetes, it is certainly life-altering and might seem disastrous. |
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| While telling someone she has diabetes may seem routine to a jaded practitioner, to a patient who has a relative who died of it, it is certainly life-altering and might seem ___. |
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| Bad news includes any information that will change the patient from their ___ to a lesser one. |
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| When the physician and the patient disagree in emphasis or choice, ___ is necessary. |
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| areas of mutual agreement (e.g., live as long as possible, retain dignity, and avoid suffering) |
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| The principles of negotiation can be summarized: find and emphasize ___, and avoid the adoption of inflexible positions that lead only to conflict, wherein one side or the other loses. |
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| Tangible barriers to communication between the doctor and the patient: ___, dementia, deafness, aphasia, intoxication (patient or physician), or ambient noise. |
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| Tangible barriers to communication between the doctor and the patient: delirium, ___, deafness, aphasia, intoxication (patient or physician), or ambient noise. |
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| Tangible barriers to communication between the doctor and the patient: delirium, dementia, ___, aphasia, intoxication (patient or physician), or ambient noise. |
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Definition
| Tangible barriers to communication between the doctor and the patient: delirium, dementia, deafness, ___, intoxication (patient or physician), or ambient noise. |
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| intoxication (patient or physician) |
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Definition
| Tangible barriers to communication between the doctor and the patient: delirium, dementia, deafness, aphasia, ___, or ambient noise. |
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Definition
| Tangible barriers to communication between the doctor and the patient: delirium, dementia, deafness, aphasia, intoxication (patient or physician), or ___. |
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| Psychological barriers to communication between the doctor and the patient include ___, anxiety, psychosis, paranoia, and distrust. |
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| Psychological barriers to communication between the doctor and the patient include depression, ___, psychosis, paranoia, and distrust. |
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| Psychological barriers to communication between the doctor and the patient include depression, anxiety, ___, paranoia, and distrust. |
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| Psychological barriers to communication between the doctor and the patient include depression, anxiety, psychosis, ___, and distrust. |
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| Psychological barriers to communication between the doctor and the patient include depression, anxiety, psychosis, paranoia, and ___. |
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| Social barriers to communication between the doctor and the patient often involve ___, cultural differences, and fears about immigration status, stigma, cost of the visit, or legal issues. |
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| Social barriers to communication between the doctor and the patient often involve language, ___, and fears about immigration status, stigma, cost of the visit, or legal issues. |
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| fears about immigration status |
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Definition
| Social barriers to communication between the doctor and the patient often involve language, cultural differences, and ___, stigma, cost of the visit, or legal issues. |
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| Social barriers to communication between the doctor and the patient often involve language, cultural differences, and fears about immigration status, ___, cost of the visit, or legal issues. |
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| Social barriers to communication between the doctor and the patient often involve language, cultural differences, and fears about immigration status, stigma, ___, or legal issues. |
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| Social barriers to communication between the doctor and the patient often involve language, cultural differences, and fears about immigration status, stigma, cost of the visit, or ___. |
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Definition
| One of the best predictors of the outcome of a ___ relationship is concordance of expectations; therefore, clarifying and reconciling these is extremely valuable before proceeding to the main part of the interview. |
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| concordance of expectations |
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Definition
| One of the best predictors of the outcome of a dyadic relationship is ___; therefore, clarifying and reconciling these is extremely valuable before proceeding to the main part of the interview. |
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| what brings you in to see me today? |
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Definition
| This fairly stereotyped beginning is better than "… how may I help you" (which prejudges the purpose of the interview): ___ |
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| relationship-building skills |
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Definition
The belief that relationships cannot be improved or manipulated has been disproven by empirical psychotherapy literature.
It has been shown that the use of appropriate ___ significantly improves interview outcomes in terms of satisfaction, compliance, data disclosure, quality of life, biological outcomes, and personal growth. |
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| The ___ is the most commonly used diagnostic and therapeutic procedure in medicine. |
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