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Author: Jonathan Schindelheim, M.D.

Medical Interviewing and the Doctor-Patient Relationship
Fall 2011
J. Schindelheim, MD
Tufts University School of Medicine

Introduction and Demonstration

Welcome to Medical Interviewing and the Doctor-Patient Relationship (MIDPR), Part 1 of your two-year Foundations of Patient Care (FPC) curriculum. In this course, we hope to transform you into medical professionals as you discover the importance of effective communication with patients and the importance of the doctor-patient relationship. Today, we will present a brief overview of the course structure and demonstrate the kind of interview that we hope you might be able to conduct, even now at the very beginning of your work with patients. As the course progresses, you will hopefully be able to add more dimensions of history taking to this basic interviewing structure. This, as well as the logistics of the course, is described in syllabus as the course goals and areas of expected competence.

Learning Objectives

By the end of this lecture, you will be able to:

  • Recognize the structure and purpose of the MIDPR Course.

  • Identify course goals, objectives, competencies, and logistics.

  • Begin to structure your initial interviews with the patients/residents you will be meeting in your small group interviewing exercises

Specific competencies students are expected to perform within the context of practice after this lecture

  • Explain the importance of effective communication in accomplishing the doctor’s tasks

  • Describe the differences between Interviewing and History Taking

  • Begin to establish an effective student doctor-patient relationship

Required Reading

"Heartaches" by Anton Chekhov

Recommended Readings

JL Coulehan, "Who is the Poor Historian?" JAMA Volume: 252 Issue: 2 Pages: 221-221 Published: 1984

D. Shapiro, M.D. “Perspective Shift” JAMA 1998 Feb 18;279(7):500