Clinical Case Database / Category: Teaching and Training
"Oh, by the way Doctor" syndrome.
Publication details
Ahmad Abu-Omar DO-HNS, MRCS, Rami Hasan MBBS
Foundation Years Journal, volume 5, issue 6, p.11 (123Doc Education, London, July 2011)
Abstract
Doctors frequently explore a patient problem before determining the full spectrum of the patient's concerns. They often redirect the patient's initial description of concerns. This leads to incomplete initial description and raises the chance of late-arising concerns and missed opportunities to gather potentially important data. Uncovering the patient's agenda from the outset takes little time, yields important data and improves the efficiency of the consultation. The authors of this article spent some time in General Practice during their foundation training. They aim, through this article, to share their experience with trainees in General Practice and help them solicit the patient's hidden agenda early in the consultation to avoid the above "syndrome".
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Authors
Ahmad Abu-Omar DO-HNS, MRCS
Specialty Registrar
Department of Otolaryngology, Crosshouse Hospita
aomar@doctors.org.uk
Rami Hasan MBBS
Core Trainee Year 1
Department of Urology, Ayr Hospital
References
1. Stewart M, Brown J, Levenstein J, McCracken E, McWhinney IR. The patient-centred clinical method. 3. Changes in residents' performance over two months of training. Fam Pract 1986; 3:164-167.
2. Kaplan SH, Gandek B, Greenfield S, Rogers W, Ware JE. Patient and visit characteristics related to physicians' participatory decision-making style. Results from the Medical Outcomes Study. Med Care 1995; 33:1176-1187.
3. White J, Levinson W, Roter D. "Oh, by the way ...": the closing moments of the medical visit. J Gen Intern Med 1994; 9:24-8.
4. Baker LH, O'connell D, Platt FW. "What else?" Setting the agenda for the clinical interview. Ann Intern Med 2005; 143:766-70.
5. Marvel MK, Epstein RM, Flowers K, Beckman HB. Soliciting the patient's agenda: have we improved? JAMA 1999; 281:283-7.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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