Efficiencies in Medical Practice

DocCom Module 16: Promoting Adherence and Health Behavior Change

Extensive research produced robust evidence that the use of patient-centered and relationship-centered counseling skills enhances patients’ likelihood of successful change. This module reviews the “5 A’s” – Assess, Agree, Advise, Assist, and Arrange – and describe specific skills to implement…

DocCom Module 11: Reach Agreement

Reaching agreement is a complex process that includes identifying the nature of the problem, defining preferred roles and involvement in decision making, agreeing on goals, and gathering and sharing biomedical and psychosocial information. Participants in this process must address feelings,…

DocCom Module 10: Share Information

Clinicians can share information and build collaborative relationships by using specific communication strategies. Use ASK-TELL-ASK to stay in dialogue and to assess and respond to patients’ information needs and emotions. Celebrate and support patients’ successes. These efforts will help meet…

DocCom Module 9: Understand the Patient’s Perspective

You greatly improve your patients’ outcomes when you jointly construct the story of the illness, weaving the patient’s elaboration of the biomedical and psychosocial threads together with your own hypotheses. The primary goals of information gathering are to elicit biomedical…

DocCom Module 8: Gather Information

You greatly improve your patients’ outcomes when you jointly construct the story of the illness, weaving the patient’s elaboration of the biomedical and psychosocial threads together with your own hypotheses. This module explores the primary goals of information gathering, which…

DocCom Module 7: Open the Discussion

Patients usually present to primary care offices with an average of three concerns. Elicitation of all of the patient’s symptoms and concerns in the ambulatory and in-patient setting requires little additional time and diminishes the likelihood of late arising concerns…

DocCom Module 6: Build a Relationship

A positive doctor-patient relationship is the key to medical care.  Substantial evidence indicates that a relationship of trust and respect promotes better adherence to treatment recommendations, better physical and emotional outcomes and the disclosure of patients’ hidden concerns. Furthermore, the…