|Written by Dr.Md.Redwanul Huq (Masum)|
|Monday, 20 June 2011 12:23|
Skills of a Medical Student for proper History Taking:
- Ability to open and close a consultation with the Patient
- Showing respect and courtesy to the Patient
- Showing empathy to the Patient
- Active listening to the Patient
- Use of non-verbal language with the Patient
- Use of open and closed questions with the Patient
- Being sensitive culturally.
Setting the Stage for History Taking:
- The layout of the consulting room should-
* Allow for good eye contact,
* Enable easy access to computers or notes,
* Avoid ‘distance’ between the doctor and patient.
- Welcome the patient with smiling face (In case of Out-Patient setting)
- Take care with the opening greeting as it helps to be warm and welcoming so as to so as to put the patient at ease.
- Introduce and identify yourself properly
- Know and use the patient’s name and consider how he/she would like to be addressed (forename or surname)
- Ensure comfort and privacy.
Characteristics of good communication:
- Have a good eye contact with the Patient
- Let the Patient tell you his/her story freely without any interruption
- Show an active interest in the patient that will help to establish trust and encourage honest and open communication
- Use all of your senses to ‘listen’ for better history taking
- Ensure that you will treat all information as confidential
- During asking questions, keep them as open as possible, like-
*What has happened to bring you to me/hospital today?* or
*What seems to be the problem now?*
- Always keep an open mind and ask yourself if you’re making assumptions.
- Get prepared to reconsider the causes of symptoms that you have decided upon.
- Consider how the patient may end the consultation: *If you wish to stop this interview at any time then please let me know.*