(8/16/10) - Medical Interviewing and Patient With Obesity

Medical Encounter and Medical Interview
1. Compare and contrast the two purposes of the medical encounter and the three functions of the medical interview.

The two purposes of the medical encounter are to relieve suffering and to maximize function.

The three functions of the medical interview are to gather and understand data, to educate and motivate, and to develop rapport.

Active Listening
2. Identify and demonstrate aspects of active listening:

a. non-verbal behaviors that contribute to communication
Behavior that BEFITS a physician: Body Posture

Eye Contact

Facial Expression Inflection Touch Space

b. verbal techniques that enhance objective, precise, and reliable information-gathering
FOCUS on active listening

Facilitations Open ended questions Clarification Understanding Surveying

PrEP for more information

Priorities for the Patient

Expectations that the patient has

Patient's ideas about the meaning of the illness ===

c. basic skills that convey respect, genuineness, and empathy===

REALLY PREPARE for understanding

Reflection

Legitimation

Personal Support

Partnership

Respect

Other Objectives
3. Practice the above techniques in small group exercises, observe others using the techniques in interviews, and receive and provide feedback.

After the patient presentation and wrap-up session, the student will be able to:

1. Take a thorough dietary history from a patient.

2. Obtain an exercise history from a patient.

3. Determine the eating habits of an obese patient.

4. Talk to a patient about weight gain and loss and explain how to keep a dietary log.

5. Obtain a history of treatment and interventions that a patient has tried for weight loss.