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CALGARY - CAMBRIDGE GUIDE TO THE MEDICAL INTERVIEW — COMMUNICATION PROCESS
INITIATING THE SESSION
Establishing initial rs
Greets patient an
port
2 Introdces sof roe and aasreofinterview; obtains conten i necessary
4. Demonstrates repect aad inert sttend to patent's physical comfort
Identifying the or the consultation
44 Mentities the pacts problems
swith pp Sie
hospital?” or "What would you like to discuss raiay?” ce "What questions dx you
hope to get answered today")
5, Listens momivly 1 te paten's opening statamens, washout imterapting or
directing patent's response
6, Confirms lst and sereens for further problems (ee. “so that’s headaches ant
thoes anythin
7. Negotates agenda ting ith ratien's and physician's needs inte accnmt
ATHERING INFO!
ems
he tory af he prolems) from when fet strtt
1 the present in own Words [erin feason for presenting BO)
9. Uses open and closed questioning technique spprepritely moving fem opsn
10. Listens ctenvely, allowing patient 10 complete satenents without
interapion and leaving space for patiet to think before answering or g0 00 af
ere
11, Baedinates ptic's responses verblly and nen-vebally eg, use of
ercourapement silence, repetition parapinssine inerpeation
rd rete] cows (iniy gigs. speech Fil
nd acknowledges as approprcie
12, Pike up x
expression, fect}; checks out
13.Clarifes patient's statements that are unclear or need amplification (ea
"Could you explain what you meas by 7
14 Perlodeally summarises 1 verity owm understanding of what he patent has
said; invites ptient to correct interpretation or provide further information.
15, Uses concise, easily understood questions and comments, evils oF
daquately explains argo
1 stables dates and sequence of events
she patient
‘patient's concerns (ic. woris) regarding each problem
+ patients expectations (ie, goals, what help the patient had
+ exfoc how each problem affets the paten's
18. Encourages patient to expres feelingsPROVIDING STRUCTURE
Making orzanisation overt
192 Summaries atthe cod ofa specific line of mney 19 confirm underwaning
ie aerate
20, Progrescs fiom one secon to anthr using stzapestine, transitional
Statements: includes etonae fr next ston
BUILDING RELATIONSHIP
vst 7 c
= Demonstrates appropriate non-verbal behavior
= execunlat Gia expresion
posture, position & movement
* Socal cues erate, volume one
24, 1 reals, wots notes oF uses compute, does im 2 manner that Joes not
terfere with dialogue or rapport
25 Demonstrates appropriate confidence
‘Bevsiopins pipport *
6, Acces isacy of pet's views ad
27. Uses empathy to communicate understanding and appreciation ofthe patient's
‘ects o predicament; overly acknowledges patent's Views snd feclings
& Proektee appar expreseeccmnecrn, wnerinding ta ho
acknowledges coping forts and appropriate self care; offers partnership
29, Deals seostivety with embarassing and dicsrhing tae and physical pan,
Snvolving the patient
30, Shares thinklng with pation encourage paticats involvement (ce “What
Emu thinking now is")
31, Explains rationale for questions or pars of physical cxaination that could
32, During physial examination, explains process, asks permissionEXPLANATION AND PLANNING
Providing the correct smesat and ype of information
33. Chemis and checks: piv sormasice 9 managrable chunks, checks for
ndersanding, uese paton's rapome ae 2 guide to bow to proceed
4 Assesses pace’ starting poise: as fr paia's prior huowodge eat oo
‘whe giving information, discovers exit of patient's wish fox information
55. Asks patients wit other information Wwoaid be Beipful ey uaiviony,
36
Temslaice presently
jes explanation at appropriate times: wis giving ave, ifocmation or
Aiding secrate recall and understanding
24, the elt eran lepeting (62 “Th te ino
39. Uses repetition and summarising io reinforce information
13 tase concice,enitywndercnad Fange sonido exeing
41, Uses visual methods of conveying Information: diagrams, models, writea
Information and inseuctons
42. Checks patient's understanding of information sivca for plans mags}: oz by
‘sting patent restate in own words; clarifies as pecesary
to previously eh
cht
44, Provides opportunities and encourages patient to contebute: 10 ask
‘questions, scck clatication or express doubts: respons appropritcly
45. Picks up verbal and nonverbal cues