Clinical Case Database / Category: Teaching and Training
"Oh, by the way Doctor" syndrome.
Ahmad Abu-Omar DO-HNS, MRCS, Rami Hasan MBBS
Foundation Years Journal, volume 5, issue 6, p.11 (123Doc Education, London, July 2011)
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".
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
|Foundation Years Clinical Cases Database
|Foundation Years Clinical Cases Database
Ahmad Abu-Omar DO-HNS, MRCS
Department of Otolaryngology, Crosshouse Hospita
Rami Hasan MBBS
Core Trainee Year 1
Department of Urology, Ayr Hospital
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.
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
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.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.