Professional Documents
Culture Documents
COMMUNICATION
Joshua Immanuel A. Marcos, MD,Msc
Emilio Aguinaldo College of Medicine
Session Objectives
The Medical Student should be able to:
• Define patient-centered interviewing
– Identify the required facilitation, questioning
and relationship-building skills
• Define doctor-centered interviewing
• Discuss the process of patient-
centered and doctor-centered
interviewing
Read
• Chapter 6-
– Doctor- Patient Communication by Fraser’s
book “ The Clinical Method”
• Chapter 5
– The doctor Patient Relationship
• Chapter 2
– The Consultation
Why Doctors Must be Good
Communicators?
• Diagnosis and the
understanding of its effects
on a patient’s life and
experience clearly depend
on the doctor
• Transmission of the exact
message by the patient to
the doctor
• Use of verbal and non-
verbal skills to enable
patient to talk freely
Why Doctors Must be Good
Communicators?
• Correctly interpreting the signals the
patient is sending out and by relaying back
to the patient that his message is received
and understood
I understand..
Got it
doctor?
Why Doctors Must be Good
Communicators?
• Helps to establish a relationship between
the two parties which has a beneficial
effect on the outcome of the consultation
• Patients are more likely to comply if they
are allowed to tell the MD what he feels is
relevant about his problem interpreted
in the patient’s own language
“Traditional apprenticeship method
of teaching medical students
to take the clinical history often fails
to teach them sufficient interviewing
skills to enable them to obtain an
accurate and full account of their
patient’s problems…”
CO-OPERATION CONFRONTATION
CONVERSATION
Opening Clinical History
• After welcoming
• Start with non-committal statements
– “Well now?”
– “What can I do for you?”
• Aim to let the patient tell his story as
fully as possible
PATIENT-CENTERED
INTERVIEWING
PATIENT-CENTERED
INTERVIEWING