Why$Conduct$A$Pt$Interview?

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Develop'a'rapport'with'the'Pt'!'increases'patient/provider'trust'and'compliance''
Start'physical'exam'though'observation'(this'is'a'concept'that'Dr.'Majdan'frequency'discusses)''
o If#you#dont#look#for#it#(or#ask#about#it)#you#wont#find#it'!'use'interview'to'obtain'info'for'physical'exam'
o History#History#History'!'If'a'Pt'discloses'surgical'hx'anticipate'finding'surgical'scaring'on'physical'exam'
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AIDET''Used'upon'initial'entrance'into'a'Pt'room,'sets'the'stage'for'the'interview''
Acknowledge''
o Clarify'!'Right'Room'Right'Patient'(Right'Medication)''
Introduce''
o Provide'patient'with'your'full'name'and'title''
o Tell'the'patient'your'role'within'the'medical'team''
Duration''
o Provide'general'overview'of'the'goal'of'the'visit'and'approximately'how'long'you'anticipate'that'it'will'take'
Explain''
o Tell'the'Pt'what'he/she'should'expect'
Thanks''
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Components$of$Pt$Interview$(in'no'particular'order)$
1. Chief'complaint'(CC)'
2. History'of'present'illness'(HPI)'!'not'the'same'of'PMHx'!'HPI'aims'to'gain'info'on'current'symptoms/issues''
3. Past'medical'history'(PMHx)''
4. Allergies''
5. Medical''
6. Social'history''
7. Family'history'
8. Review'of'systems'(ROS)'
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Framework$For$Obtaining$HPI$'
COLD'REARS'SIT'
o Components'of'CC'!'Onset'!'Location'!'Duration''
o Radiation'!'Exacerbating'factors'!'Ameliorating'factors'!'Related'S/S'!'Similar'S/S'w/'close'contacts''
o Social'impact'!'Insight'into'causation'!'Treatments'tried''
Can'also'consider'using'OPQRST'mnemonic'for'a'shorter'version'of'the'above'info''
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When$Ending$An$Interview$
Summarize'with'the'patient'HPI'and'treatment'plan'
Discuss'the'next'steps'or'future'plan''
Ask'the'Pt'if'he/she'has'any'questions'and'allow'a'few'moments'for'the'patient'to'respond'
Thank'the'patient'for'their'time'
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Communication$Competencies$
What#you#will#ultimately#be#graded#on'[Dr.'McNett,'when'discussing'overview'of'Pt'interview'examinations'at'SKMC'
o Opens'the'Discussion'
o Gathers'Information'
o Shares'Information'
o Reaches'Agreement'
o Provides'Closure'
o Understands'the'Patients'Perspective'
o Supports'the'Patients'Emotions'
o Builds'a'Relationship'