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…
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…
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…
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…
In this module we introduce the medical interview and review important background concepts. We describe the process of obtaining and communicating a complete history through integration of doctor-centered and patient-centered approaches to obtaining information, and then synthesizing the information into…
Medical education and the medical profession are stressful endeavors, with high rates of burnout and mental health problems, including substance abuse. We will be satisfied and effective clinicians only if we find healthy methods for coping with stress. We cannot…
Clinician patient encounters are therapeutic in and of themselves, independently of diagnostic and therapeutic activities of proven effectiveness. This module identifies the therapeutic elements of clinical encounters, so the learner can be intentional about maximizing these elements with patients. These…
Typical interventions used during the second stage of labor frequently impede oxygen delivery and increase risk to the patient, fetus, and practitioner. Underutilization of laboring down, open-glottis breathing and upright positions by physicians is evident nationwide. This activity outlines the…
Informed Consent continues to be a source of medical error and medical malpractice claims. Obtaining consent is sometimes delegated to someone other than the physician performing the procedure; it is sometimes reduced to obtaining a signature on a piece of…
Operative vaginal delivery has a definite time and place in obstetric practice and is associated with reduced maternal complications compared to cesarean section. While vacuum suction now exceeds the use of forceps, the indications and efficacy for them are essentially…
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