All great. When you take notes and end with, “Let me read over what I have so we’re on the same page. I want to be sure I’m getting the whole story.” That’s saved me in EMS, and is serving me in medical school. This is on time. Thanks again.
True. I believe empathy is the key ingredient that is missing from our history-taking. Often we physicians just interact with patients coldly, showing no visible concern etc. It is the human touch, the human element that sets the patient's mind at ease, makes them feel secure with their doctor. With so much hatred and wars and bloodsheds going on in the world, we doctors could play at least a small role in comforting our patients by, as Dr. Rishi pointed out, showing empathy and, above all, use a soft tone in our voice when talking to the patient. It makes a world of difference, I tell you.
The emotion that is consistent in basically every single patient we see is fear. People are unwell and scared of what it might mean. Empathy is key to trying to alleviate that and build trust.
Wonderful tips, thank you! My tip: I always start the conversation with ‘why have you come to see me today?’ . Adding a little emphasis on today: why not yesterday? Or last month? What triggered somebody to come to me today? I have found this to be a way to get to the motivations, fears, social surroundings, etc, relatively easy and early on in the conversation.
Thank you so much for this video, this will actually help me get rid of my nerves and actually focus on the patient. I am naturally an empathetic person but sometimes med school brings the worst out of you due to testing/stress. So I appreciate it
Practical exams can be really stressful, especially as you feel like you're acting. Everyone goes through it and as long as you apply it in real life then that's all that matters.
The same empathy point was taught to us ...as a ug medical student . What we can give to a patient a smile,a reassurance that they are going to be alright ❤️
I really loved the personal story about the patient act you shared. That really put things into perspective and shows the true importance of checking in with your patient to see how they are really feeling.
This was beautiful. Especially your talk about making sure to appreciate what your patient is worried about... not just what the clinician is worried about!!
Hey there I am a first year medical student in Nelson Mandela University, South Africa. Thank you for this video it has helped me prepare for my practical session with a simulated patient. I have picked up quite a lot of points and I will keep them for as long as I go into this medical course. Really appreciate it .😁
It can be as much (if not more) about your observation skills and using silence effectively to elucidate the answers you're looking for. This is especially true in my specialty of psychiatry.
I think that the importance of obtaining a patient's medical history is to gather subjective data from the patient and/or the patient's family so that the health care team and the patient can collaboratively create a plan that will promote health, address acute health problems, and minimize chronic health conditions.
As an NP student, this video reinforced my need to stay focused and present when actively listening. I will need to work on keeping my questions to a minimum and summarizing - will need practice on that. Thank you so much for this highly informative approach to obtaining much needed data to properly care for my future patients!
I'm a second year medical student , and I'm just being posted to surgery wards .....this video was really really helpful ... especially the 'ICE' .thank you !
its so amazing , i totally agree with u , and thats exactly what i do i always start to ask the pt what he fell and listen carfully for him later on i summerized to the pt what he said and if i had any mistake they will correct it 4me
I think your patients are truly blessed to have you as a physician, Dr. Desai! How has implementation of the electronic medical record changed the interview process and how can physicians maintain the same level of intimacy while ensuring they take accurate and careful notes?
This is awesome! thank you for sharing. These 3 strategies are at the core of motivational interviewing and getting the client to change talk. Empathizing, open-ended questions, affirmations, reflections and summarizing. As clinicians, these factors are key as we enter into a partnership WITH the client (not FOR) encouraging them to take charge of their own health. And it builds a healthy, therapeutic and trusting relationship. Thanks for this summary! So great:)
That's difficult to do as a brazilian student, because my university ask me to fill out an entire anamnesis list. I know, it is kinda counter-productive, but I have to do their way, at least while as a student
I think it means what the patient expects. Their treatment, what kind of medicine they will need, how they will feel when the treatment is over... At least that's what I understood. I'm still in my first year of uni though, so take it with a grain of salt.
Listen the story and enqiure the cause which they never tell properly...thats the basic rather than empathy which can deviate us to their wrong story sometimes😃
