9/18/2023 0 Comments Physical exam normal findings![]() Ask yourself, "Why did this patient come?" There may be hidden anxiety such as a concern about cancer that needs to be explored and addressed. In a patient-led interview, staying focused can be a challenge. It is worth noting that research has shown that on average, physicians tend to interrupt a patient within 16 seconds of asking an opening question, whereas allowing them to speak uninterrupted may take an average of just six seconds longer. If their greatest concern is not worrying you, jot it down and make sure you address it at the end of the consultation (even if it is just to reassure them). The two may not be the same but each is important. Note that the first addresses the patient's concern, whereas the second addresses yours. Tell me a little more about the shortness of breath. Tell me which one of these problems is troubling you most?" This may pose a challenge in the time-pressed clinic when confronted with a chatty patient who finds it difficult to give a clear history - in these cases, gentle steering phrases may be helpful: ![]() We are encouraged to ask open questions and avoid leading questions.
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