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“Tell Me about Yourself”: The Patient-Centered Interview

2001; American College of Physicians; Volume: 134; Issue: 11 Linguagem: Inglês

10.7326/0003-4819-134-11-200106050-00020

1539-3704

Frederic W. Platt, David L. Gaspar, John L. Coulehan, Lucy Fox, Andrew J. Adler, W. Wayne Weston, Robert C. Smith, Moira Stewart,

Patient Dignity and Privacy

Medical Writings5 June 2001“Tell Me about Yourself”: The Patient-Centered InterviewFrederic W. Platt, MD, David L. Gaspar, MD, John L. Coulehan, MD, MPH, Lucy Fox, MD, Andrew J. Adler, MD, W. Wayne Weston, MD, Robert C. Smith, MD, and Moira Stewart, PhDFrederic W. Platt, MDUniversity of Colorado; Denver, CO 80205 (Platt, Gaspar)State University of New York at Stony Brook; Stony Brook, NY 11794 (Coulehan)Renal Medical Associates Ltd.; Albuquerque, NM 97106 (Fox)Brooklyn Veterans Affairs Medical Center; Brooklyn, NY 11209 (Adler)University of Western Ontario; London, Ontario NGK 1C7, Canada (Weston)Michigan State University School of Medicine; East Lansing, MI 48824 (Smith)Centre for Studies in Family Medicine; London, Ontario N6G 4X8, Canada (Stewart)Search for more papers by this author, David L. Gaspar, MDUniversity of Colorado; Denver, CO 80205 (Platt, Gaspar)State University of New York at Stony Brook; Stony Brook, NY 11794 (Coulehan)Renal Medical Associates Ltd.; Albuquerque, NM 97106 (Fox)Brooklyn Veterans Affairs Medical Center; Brooklyn, NY 11209 (Adler)University of Western Ontario; London, Ontario NGK 1C7, Canada (Weston)Michigan State University School of Medicine; East Lansing, MI 48824 (Smith)Centre for Studies in Family Medicine; London, Ontario N6G 4X8, Canada (Stewart)Search for more papers by this author, John L. Coulehan, MD, MPHUniversity of Colorado; Denver, CO 80205 (Platt, Gaspar)State University of New York at Stony Brook; Stony Brook, NY 11794 (Coulehan)Renal Medical Associates Ltd.; Albuquerque, NM 97106 (Fox)Brooklyn Veterans Affairs Medical Center; Brooklyn, NY 11209 (Adler)University of Western Ontario; London, Ontario NGK 1C7, Canada (Weston)Michigan State University School of Medicine; East Lansing, MI 48824 (Smith)Centre for Studies in Family Medicine; London, Ontario N6G 4X8, Canada (Stewart)Search for more papers by this author, Lucy Fox, MDUniversity of Colorado; Denver, CO 80205 (Platt, Gaspar)State University of New York at Stony Brook; Stony Brook, NY 11794 (Coulehan)Renal Medical Associates Ltd.; Albuquerque, NM 97106 (Fox)Brooklyn Veterans Affairs Medical Center; Brooklyn, NY 11209 (Adler)University of Western Ontario; London, Ontario NGK 1C7, Canada (Weston)Michigan State University School of Medicine; East Lansing, MI 48824 (Smith)Centre for Studies in Family Medicine; London, Ontario N6G 4X8, Canada (Stewart)Search for more papers by this author, Andrew J. Adler, MDUniversity of Colorado; Denver, CO 80205 (Platt, Gaspar)State University of New York at Stony Brook; Stony Brook, NY 11794 (Coulehan)Renal Medical Associates Ltd.; Albuquerque, NM 97106 (Fox)Brooklyn Veterans Affairs Medical Center; Brooklyn, NY 11209 (Adler)University of Western Ontario; London, Ontario NGK 1C7, Canada (Weston)Michigan State University School of Medicine; East Lansing, MI 48824 (Smith)Centre for Studies in Family Medicine; London, Ontario N6G 4X8, Canada (Stewart)Search for more papers by this author, W. Wayne Weston, MDUniversity of Colorado; Denver, CO 80205 (Platt, Gaspar)State University of New York at Stony Brook; Stony Brook, NY 11794 (Coulehan)Renal Medical Associates Ltd.; Albuquerque, NM 97106 (Fox)Brooklyn Veterans Affairs Medical Center; Brooklyn, NY 11209 (Adler)University of Western Ontario; London, Ontario NGK 1C7, Canada (Weston)Michigan State University School of Medicine; East Lansing, MI 48824 (Smith)Centre for Studies in Family Medicine; London, Ontario N6G 4X8, Canada (Stewart)Search for more papers by this author, Robert C. Smith, MDUniversity of Colorado; Denver, CO 80205 (Platt, Gaspar)State University of New York at Stony Brook; Stony Brook, NY 11794 (Coulehan)Renal Medical Associates Ltd.; Albuquerque, NM 97106 (Fox)Brooklyn Veterans Affairs Medical Center; Brooklyn, NY 11209 (Adler)University of Western Ontario; London, Ontario NGK 1C7, Canada (Weston)Michigan State University School of Medicine; East Lansing, MI 48824 (Smith)Centre for Studies in Family Medicine; London, Ontario N6G 4X8, Canada (Stewart)Search for more papers by this author, and Moira Stewart, PhDUniversity of Colorado; Denver, CO 80205 (Platt, Gaspar)State University of New York at Stony Brook; Stony Brook, NY 11794 (Coulehan)Renal Medical Associates Ltd.; Albuquerque, NM 97106 (Fox)Brooklyn Veterans Affairs Medical Center; Brooklyn, NY 11209 (Adler)University of Western Ontario; London, Ontario NGK 1C7, Canada (Weston)Michigan State University School of Medicine; East Lansing, MI 48824 (Smith)Centre for Studies in Family Medicine; London, Ontario N6G 4X8, Canada (Stewart)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-134-11-200106050-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The following article initiates a series on “Words That Make a Difference.” Developed under the sponsorship of the American Academy on Physician and Patient, the series will focus on the language physicians use when they talk with patients. Although clinicians understand how important it is to communicate effectively with patients, they often have difficulty knowing exactly what the “best words” are for making the most of each patient interaction. Drawing on careful observation and research results, the authors of this series of articles have identified words and expressions that have proven particularly powerful as tools for understanding patients and helping ...References1. Putnam SM, Lipkin M. The patient-centered interview: research support.. In: Lipkin M, Putnam SM, Lazare A, eds. The Medical Interview: Clinical Care, Education and Research. New York: Springer-Verlag; 1995. Google Scholar2. Platt FW, McMath JC. Clinical hypocompetence: the interview. Ann Intern Med. 1979;91:898-902. [PMID: 517891] LinkGoogle Scholar3. Beckman HB, Frankel RM. The effect of physician behavior on the collection of data. Ann Intern Med. 1984;101:692-6. [PMID: 6486600] LinkGoogle Scholar4. Realini T, Kalet A, Sparling J. 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[PMID: 8558910] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Colorado; Denver, CO 80205 (Platt, Gaspar)State University of New York at Stony Brook; Stony Brook, NY 11794 (Coulehan)Renal Medical Associates Ltd.; Albuquerque, NM 97106 (Fox)Brooklyn Veterans Affairs Medical Center; Brooklyn, NY 11209 (Adler)University of Western Ontario; London, Ontario NGK 1C7, Canada (Weston)Michigan State University School of Medicine; East Lansing, MI 48824 (Smith)Centre for Studies in Family Medicine; London, Ontario N6G 4X8, Canada (Stewart)Acknowledgments: The observations that doctors lack words came out of work by many of the 550 faculty to the Bayer Institute for Health Care Communication. Drs. Platt, Fox, Adler, and Weston are among these faculty. Support for attempts to explicate such words came from the publications committee of the American Academy on Physician and Patient (AAPP). Drs. Platt, Coulehan, Smith, and Stewart are members of AAPP.Corresponding Author: Frederic W. Platt, MD, University of Colorado, 1901 East 20th Avenue, Denver, CO 80205.Current Author Addresses: Dr. Platt: University of Colorado, 1901 East 20th Avenue, Denver, CO 80205.Dr. Gaspar: University of Colorado, 9200 East Ninth Avenue, Denver, CO 80262.Dr. Coulehan: State University of New York at Stony Brook, HSC-L3086, Stony Brook, NY 11794-8036.Dr. Fox: Renal Medical Associates Ltd., 201 Cedar Street #800, Albuquerque, NM 87106.Dr. Adler: New York Harbor Veterans Affairs Medical Center, 800 Poly Place, Brooklyn, NY 11209.Dr. Weston: University of Western Ontario, 1228 Commissioner's Road West, London, Ontario NGK 1C7, Canada.Dr. Smith: Michigan State University School of Medicine, B306 Clinical Center, 138 Service Road, East Lansing, MI 48824Dr. Stewart: Centre for Studies in Family Medicine, 100 Collip Circle #245, London, Ontario N6G 4X8, Canada. 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